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General NPI Number Information
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NPI Number | 1548362270
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Entity Type | Individual
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Provider Name | SUZANNE G DEY MD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 1100 LAUREL ST SUITE D
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City | SAN CARLOS
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State | CA
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Zip | 94070-5000
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Country | US
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Telephone | 650-595-3616
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Fax | 650-595-0372
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Provider Business Mailing Address
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Address Line | 1100 LAUREL STREET SUITE D
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City | SAN CARLOS
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State | CA
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Zip | 94070
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Country | US
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Telephone | 650-595-3616
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Fax | 650-595-0372
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00G260040
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License Number State | CA
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