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General NPI Number Information
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NPI Number | 1508183344
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Entity Type | Organization
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Legal Business Name | CARLOS A. SUESCUN MD LLC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 7331 E OSBORN RD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6450
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Country | US
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Telephone | 480-284-4620
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Fax | 480-284-5830
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Provider Business Mailing Address
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Address Line | 7331 E OSBORN RD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6450
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Country | US
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Telephone | 480-284-4620
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Fax | 480-284-5830
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. CARLOS A SUESCUN
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Credential | M.D.
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Telephone | 480-518-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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