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General NPI Number Information
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NPI Number | 1003902511
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Entity Type | Individual
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Provider Name | ZORAIDA I SUAREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 5363 BALBOA BLVD STE 433
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City | ENCINO
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State | CA
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Zip | 91316
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Country | US
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Telephone | 818-788-8838
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Fax | 818-788-0851
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Provider Business Mailing Address
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Address Line | 5363 BALBOA BLVD STE 433
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City | ENCINO
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State | CA
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Zip | 91316
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Country | US
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Telephone | 818-788-8838
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Fax | 818-788-0851
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A42275
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A42275
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License Number State | CA
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