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General NPI Number Information
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NPI Number | 1396976643
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Entity Type | Individual
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Provider Name | GUIDO SUTTER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 19441 PINEHURST PL. E.
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City | GULFPORT
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State | MS
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Zip | 39503-8455
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Country | US
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Telephone | 800-417-8205
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Fax |
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Provider Business Mailing Address
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Address Line | 19441 PINEHURST PL. E.
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City | GULFPORT
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State | MS
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Zip | 39503-8455
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Country | US
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Telephone | 800-417-8205
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1685-75
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2558
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License Number State | LA
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