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General NPI Number Information
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NPI Number | 1538547930
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Entity Type | Individual
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Provider Name | ELIZABETH SUAREZ KUNEMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 1131 AIRPORT RD
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City | MILFORD
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State | DE
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Zip | 19963-6418
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Country | US
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Telephone | 302-422-8026
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Fax | 302-422-0701
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Provider Business Mailing Address
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Address Line | 24130 SNUG HARBOR DR
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City | SEAFORD
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State | DE
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Zip | 19973-7521
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Country | US
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Telephone | 302-422-8026
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Fax | 302-422-0701
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0001018
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License Number State | DE
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