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General NPI Number Information
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NPI Number | 1720227283
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Entity Type | Individual
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Provider Name | ERIC PAUL SUTHERLAND RPH
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Gender | Male
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 830 CHALKSTONE AVE VA MEDICAL CENTER
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City | PROVIDENCE
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State | RI
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Zip | 02908
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Country | US
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Telephone | 401-273-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 85 MARK DR
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-2427
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Country | US
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Telephone | 401-767-6679
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 3663
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License Number State | RI
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