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General NPI Number Information
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NPI Number | 1457558215
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Entity Type | Individual
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Provider Name | SUZANNE D PISZAR MA, LAC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2517 HIGHWAY 35 BUILDING F SUITE 101
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City | MANASQUAN
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State | NJ
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Zip | 08736-1918
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Country | US
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Telephone | 732-292-2929
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Fax | 732-782-0345
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Provider Business Mailing Address
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Address Line | 15 SKIPPER LN
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City | BRICK
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State | NJ
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Zip | 08724-7028
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00023300
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License Number State | NJ
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