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General NPI Number Information
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NPI Number | 1609824051
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Entity Type | Individual
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Provider Name | ANNE M SUTHERLAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 1700 SW 257TH AVE
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City | TROUTDALE
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State | OR
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Zip | 97060-1900
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Country | US
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Telephone | 503-669-6800
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Fax | 503-491-2434
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Provider Business Mailing Address
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Address Line | 1700 SW 257TH AVE
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City | TROUTDALE
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State | OR
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Zip | 97060-1900
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Country | US
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Telephone | 503-669-6800
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Fax | 503-491-1352
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD22396
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License Number State | OR
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