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General NPI Number Information
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NPI Number | 1760771869
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Entity Type | Organization
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Legal Business Name | OSTEOPATHIC SOLUTIONS LLC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 8069 MEXICO RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-1148
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Country | US
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Telephone | 636-272-0008
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Fax | 636-272-8080
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Provider Business Mailing Address
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Address Line | 8069 MEXICO RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-1148
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Country | US
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Telephone | 636-272-0008
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Fax | 636-272-8080
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENT STEVEN SUTTERER
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Credential | DO
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Telephone | 636-272-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2002015981
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License Number State | MO
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