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General NPI Number Information
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NPI Number | 1558745109
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Entity Type | Individual
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Provider Name | SUZETTE J SULARSKI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 4251 ROUTE 9 N BUILDING 3, SUITE F
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City | FREEHOLD
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State | NJ
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Zip | 07728-8303
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Country | US
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Telephone | 732-675-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ST LAWRENCE WAY
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City | MARLBORO
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State | NJ
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Zip | 07746-1231
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Country | US
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Telephone | 732-536-6550
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35S100544400
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License Number State | NJ
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