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General NPI Number Information
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NPI Number | 1598378366
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Entity Type | Individual
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Provider Name | SUZANNE ELIZABETH TAGLIAFERRI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 752 SOUTHLEAF DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4749
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Country | US
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Telephone | 757-642-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 WEST RD
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City | CHESAPEAKE
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State | VA
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Zip | 23323-6440
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Country | US
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Telephone | 757-642-4449
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305213703
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License Number State | VA
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