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General NPI Number Information
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NPI Number | 1194197319
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Entity Type | Organization
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Legal Business Name | ANA SUAREZ MD PA
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 1333 SW AXTELL AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-5327
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Country | US
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Telephone | 786-285-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 SW AXTELL AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-5327
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Country | US
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Telephone | 786-285-6410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANA SUAREZ
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Credential | MD
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Telephone | 786-285-6410
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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 | ME120211
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License Number State | FL
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