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General NPI Number Information
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NPI Number | 1225012156
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Entity Type | Individual
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Provider Name | SUZANNE M CLOUS DPM
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 300 COLUMBIA DR APT 3306
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City | CAPE CANAVERAL
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State | FL
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Zip | 32920-5106
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Country | US
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Telephone | 404-556-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 300 COLUMBIA DR APT 3306
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City | CAPE CANAVERAL
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State | FL
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Zip | 32920-5106
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Country | US
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Telephone | 404-556-1710
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001011
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4609
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD001011
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License Number State | GA
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