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General NPI Number Information
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NPI Number | 1669402798
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Entity Type | Individual
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Provider Name | SUZANNE KRIGSMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 159 FRANKLIN TPKE VALLEY HEALTH MEDICAL GROUP
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City | WALDWICK
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State | NJ
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Zip | 07463-1816
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Country | US
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Telephone | 201-447-3603
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Fax |
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Provider Business Mailing Address
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Address Line | 50 KINDERKAMACK RD
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-8021
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Country | US
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Telephone | 201-746-0692
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA07369100
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License Number State | NJ
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