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General NPI Number Information
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NPI Number | 1811982945
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Entity Type | Individual
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Provider Name | JAMES M. SUTHERLAND DO
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 1061 MEDICAL CENTER DR STE 102
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City | ORANGE CITY
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State | FL
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Zip | 32763-8225
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Country | US
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Telephone | 386-917-7620
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Fax | 386-917-7621
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Provider Business Mailing Address
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Address Line | 1061 MEDICAL CENTER DR SUITE 310
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City | ORANGE CITY
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State | FL
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Zip | 32763-8200
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Country | US
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Telephone | 386-917-7620
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Fax | 386-917-7621
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | OS8951
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS8951
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS8951
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License Number State | FL
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