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General NPI Number Information
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NPI Number | 1740406628
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Entity Type | Organization
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Legal Business Name | SHUICHI SUZUKI, M.D., INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 1015 N 1ST AVE SUITE A
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City | ARCADIA
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State | CA
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Zip | 91006-7401
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Country | US
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Telephone | 626-566-2860
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Fax | 626-566-2850
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Provider Business Mailing Address
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Address Line | 8 VERNAL SPG
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City | IRVINE
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State | CA
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Zip | 92603-0405
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Country | US
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Telephone | 714-943-3788
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Fax | 714-943-3788
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHUICHI SUZUKI
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Credential | M.D.
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Telephone | 714-943-3788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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