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General NPI Number Information
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NPI Number | 1174608160
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Entity Type | Organization
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Legal Business Name | THE SUCHOWIECKY CENTER
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 7505 FANNIN ST STE 350 THE SUCHOWIECKY CENTER
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City | HOUSTON
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State | TX
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Zip | 77054-1954
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Country | US
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Telephone | 713-792-0077
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Fax | 713-790-9564
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Provider Business Mailing Address
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Address Line | PO BOX 200179 THE SUCHOWIECKY CENTER
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City | HOUSTON
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State | TX
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Zip | 77216-0179
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Country | US
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Telephone | 713-797-0077
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Fax | 713-790-9564
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID SUCHOWIECKY
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Credential | MD
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Telephone | 713-797-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | F2956
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License Number State | TX
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