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General NPI Number Information
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NPI Number | 1366739906
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Entity Type | Individual
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Provider Name | KARI ELIZABETH SUFFICOOL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2011
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 1001 CHESTERFIELD PKWY E
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City | CHESTERFIELD
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State | MO
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Zip | 63017-2112
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Country | US
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Telephone | 763-317-1580
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Fax | 952-473-7281
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Provider Business Mailing Address
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Address Line | 2 CARLSON PKWY N STE 240
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City | PLYMOUTH
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State | MN
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Zip | 55447-4485
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Country | US
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Telephone | 314-256-3413
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Fax | 314-256-3562
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 2015001249
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 036.158037
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036158037
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2011017331
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License Number State | MO
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