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General NPI Number Information
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NPI Number | 1245098748
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Entity Type | Individual
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Provider Name | SUZANNAH CATRON
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Gender | Female
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 26240 GOLDEN MAPLE LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6304
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Country | US
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Telephone | 813-949-0744
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Fax |
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Provider Business Mailing Address
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Address Line | 11048 CAROL DR
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City | BROOKSVILLE
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State | FL
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Zip | 34601-1413
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Country | US
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Telephone | 352-770-9960
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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