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NPI 1235884537

NPI 1235884537 : MAJERLE SUITTS : COTATI, CA

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General NPI Number Information
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    NPI Number           |    1235884537
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    Entity Type          |    Individual 
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    Provider Name        |    MAJERLE SUITTS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/15/2022
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    420 E COTATI AVE 
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    City                 |    COTATI
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    State                |    CA
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    Zip                  |    94931-4442
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    Country              |    US
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    Telephone            |    707-795-4336
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1100 LINCOLN AVE STE 108 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-4908
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    Country              |    US
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    Telephone            |    415-861-0828
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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        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    373H00000X
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    Taxonomy Name        |    Day Training/Habilitation Specialist
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    License Number       |    
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    License Number State |    CA
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