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General NPI Number Information
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NPI Number | 1689868499
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Entity Type | Organization
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Legal Business Name | JOSEPH SUTCLIFFE P.A.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 424 N CHESTNUT ST
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City | CHASKA
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State | MN
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Zip | 55318-2091
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Country | US
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Telephone | 952-448-4222
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Fax | 952-448-5393
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Provider Business Mailing Address
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Address Line | 424 N CHESTNUT ST
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City | CHASKA
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State | MN
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Zip | 55318-2091
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Country | US
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Telephone | 952-448-4222
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Fax | 952-448-5393
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH E SUTCLIFFE
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Credential | DC
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Telephone | 952-448-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 003482
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License Number State | MN
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