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General NPI Number Information
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NPI Number | 1215181532
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Entity Type | Individual
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Provider Name | CHRISTOPHER ANDREAS SUYKERBUYK DPM
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Gender | Male
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 2919 S ELLSWORTH RD STE 124
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City | MESA
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State | AZ
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Zip | 85212-2167
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Country | US
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Telephone | 480-633-7944
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Fax | 480-633-0255
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Provider Business Mailing Address
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Address Line | PO BOX 9058
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City | MESA
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State | AZ
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Zip | 85214-9058
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Country | US
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Telephone | 480-633-7944
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Fax | 480-633-0255
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0728
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License Number State | AZ
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