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General NPI Number Information
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NPI Number | 1730480088
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Entity Type | Organization
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Legal Business Name | PETER R. SUTTER, D.O., INC
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 105 5TH ST SE STE. 2
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City | BARBERTON
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State | OH
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Zip | 44203-4255
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Country | US
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Telephone | 330-745-3428
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Fax | 330-745-7002
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Provider Business Mailing Address
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Address Line | 105 5TH ST SE STE. 2
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City | BARBERTON
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State | OH
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Zip | 44203-4255
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Country | US
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Telephone | 330-745-3428
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Fax | 330-745-7002
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Authorized Official
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Title or Position | PRESIDENT.OWNER
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Name | DR. PETER RAYMOND SUTTER
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Credential | D.O.
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Telephone | 330-745-3428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34-00-4609-S
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License Number State | OH
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