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General NPI Number Information
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NPI Number | 1215751060
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Entity Type | Individual
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Provider Name | SUZANNE E KLEIN MS, CRC, RIC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | PO BOX 962
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City | STUARTS DRAFT
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State | VA
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Zip | 24477-0962
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Country | US
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Telephone | 540-490-4440
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Fax | 877-363-9068
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Provider Business Mailing Address
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Address Line | 174 STONELEIGH RD
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City | PALMYRA
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State | VA
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Zip | 22963-4405
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Country | US
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Telephone | 434-422-2071
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Fax | 877-363-9068
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0704017488
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License Number State | VA
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