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General NPI Number Information
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NPI Number | 1679490239
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Entity Type | Individual
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Provider Name | SUZAN ALHUSSEIN RDH
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 398 W LANCASTER AVE
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City | WAYNE
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State | PA
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Zip | 19087-3924
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Country | US
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Telephone | 610-910-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 STRAHLE ST APT E1
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2526
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Country | US
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Telephone |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH76443
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License Number State | PA
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