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General NPI Number Information
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NPI Number | 1497453294
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Entity Type | Individual
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Provider Name | CHRISTOPHER GRAHAM SUTER PT
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Gender | Male
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST STE 101
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City | OAKLAND
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State | CA
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Zip | 94609-3106
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Country | US
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Telephone | 925-939-8585
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Fax | 925-933-2709
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Provider Business Mailing Address
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Address Line | 2430 8TH ST APT 3
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City | BERKELEY
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State | CA
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Zip | 94710-2531
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Country | US
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Telephone | 916-833-7026
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 303706
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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