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General NPI Number Information
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NPI Number | 1659262137
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Entity Type | Individual
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Provider Name | ELIZABETH KINSEY SUTHERLIN
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 620 CHESTNUT ST
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City | TERRE HAUTE
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State | IN
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Zip | 47809-1910
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Country | US
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Telephone | 812-237-3410
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Fax |
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Provider Business Mailing Address
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Address Line | 2952 N COUNTY ROAD 625 E
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City | MILAN
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State | IN
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Zip | 47031-9129
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Country | US
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Telephone | 812-621-3416
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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