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General NPI Number Information
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NPI Number | 1922019629
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Entity Type | Individual
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Provider Name | JAMES NORMAN SUTHERLAND
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | AVENIDA LAUREL ESQUINA SANTA JUANITA #100
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-269-0988
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Fax | 787-995-6925
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Provider Business Mailing Address
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Address Line | PO BOX 79112
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City | CAROLINA
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State | PR
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Zip | 00984-9112
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Country | US
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Telephone | 787-529-0739
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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