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General NPI Number Information
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NPI Number | 1679015457
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Entity Type | Individual
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Provider Name | DENISE HELEN SURI
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Gender | Female
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 1100 AIRPORT BLVD BLVD. B
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City | PENSACOLA
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State | FL
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Zip | 32504-8631
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Country | US
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Telephone | 850-434-6168
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Fax |
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Provider Business Mailing Address
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Address Line | 3298 SUMMIT BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503-8318
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Country | US
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Telephone | 850-434-6168
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9365811
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License Number State | FL
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