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General NPI Number Information
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NPI Number | 1205551942
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Entity Type | Individual
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Provider Name | GRACE CATHERINE SUGGS DPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 4900 MARIE P DEBARTOLO WAY
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City | SANTA CLARA
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State | CA
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Zip | 95054-1100
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Country | US
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Telephone | 415-464-9377
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Fax |
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Provider Business Mailing Address
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Address Line | 50 HORGAN AVE APT 9
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3645
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Country | US
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Telephone | 858-877-8659
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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