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General NPI Number Information
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NPI Number | 1558558866
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Entity Type | Organization
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Legal Business Name | CARL SUCHAR DO PA
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 613 S MYRTLE AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-5615
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Country | US
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Telephone | 727-441-1451
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Fax | 727-446-9528
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Provider Business Mailing Address
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Address Line | 613 S MYRTLE AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-5615
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Country | US
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Telephone | 727-441-1451
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Fax | 727-446-9528
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARL SUCHAR
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Credential | D.O.
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Telephone | 727-441-1451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS4708
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License Number State | FL
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