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General NPI Number Information
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NPI Number | 1316056294
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Entity Type | Individual
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Provider Name | SUZANNE ROBINSON PA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2200 WHITNEY AVE SUITE 100
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City | HAMDEN
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State | CT
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Zip | 06518-3691
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Country | US
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Telephone | 203-407-6410
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Fax | 203-407-6433
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Provider Business Mailing Address
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Address Line | 169 SCHOOL ST APT. 13-B
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City | HAMDEN
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State | CT
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Zip | 06518-3126
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Country | US
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Telephone | 203-230-1471
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA001513
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License Number State | CT
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