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General NPI Number Information
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NPI Number | 1376545368
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Entity Type | Organization
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Legal Business Name | RICHARD A. SUSS, M.D., P.A.
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 800 W ARBROOK BLVD SUITE 300
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City | ARLINGTON
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State | TX
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Zip | 76015-4327
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Country | US
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Telephone | 817-417-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 5938 DESCO DR
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City | DALLAS
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State | TX
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Zip | 75225-1603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD A. SUSS
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Credential | M.D.
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Telephone | 214-363-5690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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