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General NPI Number Information
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NPI Number | 1659941896
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Entity Type | Individual
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Provider Name | SUYA WEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 404 MIDDLETOWN BLVD STE 300
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City | LANGHORNE
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State | PA
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Zip | 19047-1897
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Country | US
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Telephone | 973-444-6081
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Fax |
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Provider Business Mailing Address
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Address Line | 215 PHEASANT HOLLOW DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2130
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Country | US
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Telephone | 402-332-1058
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS043234
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License Number State | PA
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