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General NPI Number Information
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NPI Number | 1518019397
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Entity Type | Individual
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Provider Name | CHERYL ANN SULISZ MD, MPH, MS, FACOEM
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/09/2017
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Provider Practice Location Address
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Address Line | 11700 METRO AIRPORT CENTER DR STE 104
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City | ROMULUS
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State | MI
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Zip | 48174-1404
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Country | US
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Telephone | 734-955-7000
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Fax | 734-955-7006
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Provider Business Mailing Address
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Address Line | 11700 METRO AIRPORT CENTER DR. SUITE 104
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City | ROMULUS
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State | MI
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Zip | 48174
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Country | US
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Telephone | 734-955-7000
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Fax | 734-955-7006
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 4301051486
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 4301051486
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License Number State | MI
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