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General NPI Number Information
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NPI Number | 1134450265
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Entity Type | Individual
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Provider Name | SUZANNE D COPP MS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 10 TROUT BROOK CIR
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City | NEWTOWN
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State | CT
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Zip | 06470-2650
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Country | US
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Telephone | 203-258-5688
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Fax | 203-364-1685
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Provider Business Mailing Address
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Address Line | 10 TROUT BROOK CIR
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City | NEWTOWN
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State | CT
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Zip | 06470-2650
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Country | US
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Telephone | 203-258-5688
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Fax | 203-364-1685
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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