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General NPI Number Information
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NPI Number | 1043856966
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Entity Type | Individual
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Provider Name | SUZZETTE RENEE SPENCER RRA, RT(R)(CT)(ARRT)
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Gender | Female
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1820 PRESTON PARK BLVD STE 2400
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City | PLANO
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State | TX
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Zip | 75093-3716
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Country | US
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Telephone | 972-867-7862
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Fax | 972-612-1623
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Provider Business Mailing Address
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Address Line | 1820 PRESTON PARK BLVD STE 2400
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City | PLANO
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State | TX
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Zip | 75093-3716
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Country | US
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Telephone | 972-942-8899
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Fax | 972-540-4422
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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 | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | 481887
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | 481887
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License Number State | TX
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