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NPI 1245305598

NPI 1245305598 : SUZANNE L. KIRBY MD : CARY, NC

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General NPI Number Information
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    NPI Number           |    1245305598
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    Entity Type          |    Individual 
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    Provider Name        |    SUZANNE L. KIRBY MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2006
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    Last Update Date     |    01/07/2009
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Provider Practice Location Address
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    Address Line         |    300 ASHVILLE AVE SUITE 310
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    City                 |    CARY
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    State                |    NC
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    Zip                  |    27518-8682
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    Country              |    US
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    Telephone            |    919-233-8585
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    Fax                  |    919-233-8566
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Provider Business Mailing Address
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    Address Line         |    P.O BOX 601043 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28260-1043
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    Country              |    US
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    Telephone            |    919-233-8585
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    Fax                  |    919-233-8566
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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        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    34371
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    License Number State |    NC
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