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General NPI Number Information
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NPI Number | 1295726206
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Entity Type | Individual
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Provider Name | DEANNA M SUGGS CNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | REGIONAL ADMIN OFFICE 3411 N 5TH AVE., STE. 209
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City | PHOENIX
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State | NM
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Zip | 85013-3812
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Country | US
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Telephone | 602-789-0344
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Fax | 602-789-8389
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Provider Business Mailing Address
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Address Line | REGIONAL ADMIN OFFICE 3411 N 5TH AVE., STE. 209
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City | PHOENIX
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State | NM
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Zip | 85013-3812
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Country | US
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Telephone | 602-789-0344
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Fax | 602-789-8389
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R23249
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP00403
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License Number State | NM
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