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General NPI Number Information
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NPI Number | 1750593497
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Entity Type | Individual
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Provider Name | FROILAN SUAREZ P.A.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 STATE ST
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City | BROOKLYN
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State | NY
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Zip | 11217-1706
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Country | US
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Telephone | 718-625-1388
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Fax |
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Provider Business Mailing Address
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Address Line | 137 STERLING ST 1A
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City | BROOKLYN
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State | NY
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Zip | 11225-3408
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Country | US
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Telephone | 718-703-9253
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 008756
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License Number State | NY
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