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General NPI Number Information
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NPI Number | 1104045582
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Entity Type | Individual
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Provider Name | SUZETTE MARIE FISHER ED.S.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 15802 N. PARKVIEW PLACE
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City | SURPRISE
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State | AZ
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Zip | 85374
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Country | US
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Telephone | 623-876-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 22119 N PEDREGOSA DR
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-2695
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Country | US
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Telephone | 623-476-7005
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | AZ
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