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General NPI Number Information
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NPI Number | 1285089649
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Entity Type | Individual
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Provider Name | RICHA SUTARIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 4437 TOUR TRCE
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City | LAND O LAKES
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State | FL
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Zip | 34638-6999
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Country | US
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Telephone | 813-495-5567
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Fax |
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Provider Business Mailing Address
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Address Line | 4437 TOUR TRACE
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City | LAND O LAKES
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State | FL
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Zip | 34638-6999
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Country | US
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Telephone | 813-803-0363
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Fax | 813-590-6242
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME150022
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME150022
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME150022
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License Number State | FL
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