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General NPI Number Information
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NPI Number | 1780620401
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Entity Type | Individual
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Provider Name | MICHAEL S. SUTRO M. D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST SUITE 518
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-600-7840
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Fax | 415-600-7845
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Provider Business Mailing Address
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Address Line | PO BOX 60000 FILE #74451
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City | SAN FRANCISCO
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State | CA
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Zip | 94160-0001
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Country | US
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Telephone | 415-600-7840
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Fax | 415-600-7845
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G35951
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License Number State | CA
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