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Individual
BARRY WILLIAM SUTPHIN
Active
Individual
BARRY WILLIAM SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357959
WELLCARE
FL
05
—
381470000
—
FL
01
—
55515
BCBS
FL
Enumeration date
06/22/2006
Last updated
05/02/2008
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