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General NPI Number Information
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NPI Number | 1407891559
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Entity Type | Organization
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Legal Business Name | BENJAMIN M. SUCHER, D.O., P.C.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10585 N TATUM BLVD SUITE D135
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1073
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Country | US
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Telephone | 480-483-7387
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Fax | 480-483-3684
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Provider Business Mailing Address
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Address Line | 10585 N TATUM BLVD SUITE D135
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1073
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Country | US
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Telephone | 480-483-7387
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Fax | 480-483-3684
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMIN M SUCHER
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Credential | D.O.
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Telephone | 480-483-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 1525
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License Number State | AZ
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