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General NPI Number Information
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NPI Number | 1942294459
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Entity Type | Organization
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Legal Business Name | EARL SUNDERHAUS MD PA
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 119 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-1869
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Country | US
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Telephone | 828-253-4693
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Fax | 828-252-0030
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Provider Business Mailing Address
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Address Line | 119 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-1869
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Country | US
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Telephone | 828-253-4693
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Fax | 828-252-0030
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Authorized Official
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Title or Position | CEO
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Name | EARL SUNDERHAUS
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Credential | MD
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Telephone | 828-252-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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