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General NPI Number Information
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NPI Number | 1023442290
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Entity Type | Individual
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Provider Name | SUCHITHRA HIRODE PH.D
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Gender | Female
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 08/31/2013
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Provider Practice Location Address
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Address Line | 13039 W LINEBAUGH AVE BLDG. V, SUITE 101
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City | TAMPA
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State | FL
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Zip | 33626-4483
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Country | US
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Telephone | 888-531-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 9643 GRETNA GREEN DR
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City | TAMPA
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State | FL
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Zip | 33626-5311
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Country | US
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Telephone | 813-920-0405
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8814
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License Number State | FL
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