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General NPI Number Information
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NPI Number | 1477791127
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Entity Type | Individual
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Provider Name | PATRICIA SUCHMAN REED RPT
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 1001 FARMINGTON AVE SUITE 101
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City | BRISTOL
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State | CT
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Zip | 06010-3990
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Country | US
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Telephone | 860-582-8024
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Fax | 860-585-0609
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Provider Business Mailing Address
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Address Line | 90 HUNTER DR
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1017
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Country | US
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Telephone | 860-521-2661
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 002288
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License Number State | CT
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