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General NPI Number Information
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NPI Number | 1639921026
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Entity Type | Individual
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Provider Name | JENNIFER LIRIANO SUAREZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 200 HAWTHORNE LN
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City | CHARLOTTE
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State | NC
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Zip | 28204-2515
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Country | US
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Telephone | 704-316-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 SILAS CREEK PKWY
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3013
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Country | US
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Telephone | 929-324-6095
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Fax | 859-323-0069
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 700619
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 33975
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License Number State | NC
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