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General NPI Number Information
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NPI Number | 1306306956
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Entity Type | Individual
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Provider Name | FREDERICK CURTIS SUDBURY MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2101 ADELBERT RD
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City | CLEVELAND
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State | OH
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Zip | 44106-2624
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Country | US
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Telephone | 216-844-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 500 UNIVERSITY DR
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.147488
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD476618
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT217898
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License Number State | PA
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