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General NPI Number Information
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NPI Number | 1447251848
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Entity Type | Individual
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Provider Name | JOHN SUTHERLAND MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 9812 N 7TH ST SUITE 7
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City | PHOENIX
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State | AZ
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Zip | 85020-1763
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Country | US
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Telephone | 602-714-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 9812 N 7TH ST SUITE 7
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City | PHOENIX
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State | AZ
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Zip | 85020-1763
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Country | US
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Telephone | 602-714-6783
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 27081
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 27081
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 27081
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License Number State | AZ
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