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General NPI Number Information
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NPI Number | 1134699838
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Entity Type | Individual
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Provider Name | JAVIER JESUS SUAREZ RIVERA
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Gender | Male
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 11415 CASWELL SPRINGS WAY
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City | LOUISVILLE
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State | KY
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Zip | 40291-8325
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Country | US
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Telephone | 502-298-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 11415 CASWELL SPRINGS WAY
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City | LOUISVILLE
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State | KY
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Zip | 40291-8325
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Country | US
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Telephone | 502-298-9121
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11034541
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4018518
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4018518
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95034053
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209-03153401
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20903153401
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.031534
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License Number State | IL
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