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General NPI Number Information
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NPI Number | 1063589281
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Entity Type | Individual
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Provider Name | SUZANNE GAIL DARBYSHIRE COUNSELOR
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1143 MISSOURI ST.
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City | FAIRFIELD
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State | CA
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Zip | 94533-5958
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Country | US
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Telephone | 707-435-9911
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Fax | 707-435-0704
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Provider Business Mailing Address
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Address Line | 260 POWDER CT
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City | VACAVILLE
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State | CA
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Zip | 95687-5958
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Country | US
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Telephone | 707-435-9911
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Fax | 707-435-0704
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4416
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License Number State | CA
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