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General NPI Number Information
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NPI Number | 1740209436
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Entity Type | Individual
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Provider Name | SUZANNE BARBARA BARTLETT HACKENMILLER MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 8405 N PIMA CENTER PKWY STE 203
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4670
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Country | US
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Telephone | 480-587-6930
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Fax | 480-882-5026
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Provider Business Mailing Address
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Address Line | 8405 N PIMA CENTER PKWY STE 203
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4670
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Country | US
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Telephone | 480-587-6930
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Fax | 480-882-5026
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33955
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 63610
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License Number State | AZ
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