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General NPI Number Information
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NPI Number | 1275112229
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Entity Type | Individual
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Provider Name | SUCHAKREE SANGUANSATAYA MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 12850 DALLAS PKWY STE 200
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City | FRISCO
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State | TX
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Zip | 75033-0844
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Country | US
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Telephone | 469-678-7802
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Fax | 833-972-5253
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Provider Business Mailing Address
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Address Line | 12850 DALLAS PKWY STE 200
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City | FRISCO
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State | TX
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Zip | 75033-0844
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Country | US
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Telephone | 617-636-5000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1019528
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 289072
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License Number State | MA
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