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General NPI Number Information
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NPI Number | 1629302682
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Entity Type | Individual
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Provider Name | SUZANNE CORINNE D'AQUIN PA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121
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Country | US
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Telephone | 504-842-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 203 N MARION ST
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City | TAMPA
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State | FL
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Zip | 33602-4914
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Country | US
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Telephone | 225-505-6408
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Fax | 225-208-3390
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA200286
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License Number State | LA
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