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General NPI Number Information
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NPI Number | 1629139530
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Entity Type | Individual
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Provider Name | SUZANNE E DEMONG LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 W ARBOR DR UCSD MEDICAL CENTER, MC 8965
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City | SAN DIEGO
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State | CA
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Zip | 92103-8965
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Country | US
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Telephone | 619-471-0275
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Fax | 619-543-7647
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Provider Business Mailing Address
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Address Line | 1952 FREDA LN
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City | CARDIFF
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State | CA
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Zip | 92007-1450
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Country | US
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Telephone | 760-943-8687
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 07385
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License Number State | CA
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