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General NPI Number Information
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NPI Number | 1013228451
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Entity Type | Individual
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Provider Name | MRS. SUZANNE ROSE HYSON
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 9708 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21236-1108
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Country | US
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Telephone | 410-256-6400
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Fax | 410-529-4796
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Provider Business Mailing Address
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Address Line | 549 JASONTOWN RD
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City | WESTMINSTER
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State | MD
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Zip | 21158-3524
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Country | US
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Telephone | 410-876-8371
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 183500000X
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License Number State | MD
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