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General NPI Number Information
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NPI Number | 1730349473
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Entity Type | Organization
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Legal Business Name | SUZUKI MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 11 SCHALKS CROSSING RD BLDG 6, SUITE 622
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1617
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Country | US
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Telephone | 609-275-5700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26040
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City | MACON
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State | GA
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Zip | 31221-6040
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Country | US
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Telephone | 478-475-1299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RON SUZUKI
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Credential | MD
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Telephone | 609-275-5700
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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 | 25MA07663900
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License Number State | NJ
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