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General NPI Number Information
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NPI Number | 1437245446
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Entity Type | Individual
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Provider Name | SUZANNE DINKELAKER ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3200 VINE ST ML 110FTD
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City | CINCINNATI
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State | OH
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Zip | 45220-2213
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Country | US
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Telephone | 513-861-3100
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Fax | 859-572-6799
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Provider Business Mailing Address
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Address Line | 34 CLIFFGATE LN
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City | FORT THOMAS
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State | KY
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Zip | 41075-1435
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Country | US
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Telephone | 859-781-4139
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Fax | 859-572-6799
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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 | REG. NO. 3095P
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License Number State | KY
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