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NPI 1588142160

NPI 1588142160 : SUZANNE LYNN HARTMAN RCP : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1588142160
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    Entity Type          |    Individual 
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    Provider Name        |    SUZANNE LYNN HARTMAN RCP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2018
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    Last Update Date     |    08/05/2018
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Provider Practice Location Address
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    Address Line         |    3440 E LA PALMA AVE 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92806-2020
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    Country              |    US
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    Telephone            |    714-644-7572
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    Fax                  |    714-644-2865
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Provider Business Mailing Address
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    Address Line         |    13869 ORANGEVALE AVE 
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    City                 |    EASTVALE
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    State                |    CA
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    Zip                  |    92880-8962
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    Country              |    US
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    Telephone            |    951-966-9677
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    Fax                  |    951-893-1432
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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        |    227800000X
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    Taxonomy Name        |    Certified Respiratory Therapist
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    License Number       |    2638
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    License Number State |    CA
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