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General NPI Number Information
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NPI Number | 1073754388
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Entity Type | Organization
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Legal Business Name | JOHN H SUSZ DPM, PC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1 TIMBERVIEW LN
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City | RUSSELL
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State | PA
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Zip | 16345-4149
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Country | US
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Telephone | 814-757-8204
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Fax | 814-757-7785
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Provider Business Mailing Address
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Address Line | 514 SPRINGSIDE DR
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City | WARREN
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State | PA
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Zip | 16365-5301
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Country | US
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Telephone | 814-726-1864
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Fax | 814-757-7785
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN HENRY SUSZ
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Credential | D.P.M.
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Telephone | 814-331-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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