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General NPI Number Information
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NPI Number | 1659406338
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Entity Type | Individual
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Provider Name | KIMBERLY ANN SUTER DDS
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 617 W MAIN STREET
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City | STERLING
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State | CO
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Zip | 80751
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Country | US
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Telephone | 970-522-2622
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Fax | 972-522-2674
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Provider Business Mailing Address
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Address Line | 617 W MAIN STREET
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City | STERLING
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State | CO
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Zip | 80751
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Country | US
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Telephone | 970-522-2622
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Fax | 972-522-2674
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6845
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License Number State | CO
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