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General NPI Number Information
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NPI Number | 1649400409
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Entity Type | Individual
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Provider Name | SUZANNE KATHRYN HIGGINBOTHAM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 1000 5TH AVE WELLNESS AND DISEASE MANAGEMENT CENTER
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City | PITTSBURGH
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State | PA
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Zip | 15219-6202
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Country | US
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Telephone | 412-396-2053
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Fax | 412-396-2161
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Provider Business Mailing Address
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Address Line | 1000 5TH AVE WELLNESS AND DISEASE MANAGEMENT CENTER
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City | PITTSBURGH
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State | PA
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Zip | 15219-6202
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Country | US
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Telephone | 412-396-2053
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Fax | 412-396-2161
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP443081
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03329101
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License Number State | OH
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