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General NPI Number Information
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NPI Number | 1770883100
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Entity Type | Organization
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Legal Business Name | LEO SUAREZ MD PA
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 2207 S. CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7600
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Country | US
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Telephone | 561-965-8345
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Fax | 561-965-8434
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Provider Business Mailing Address
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Address Line | 2207 S. CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7600
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Country | US
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Telephone | 561-965-8345
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Fax | 561-965-8434
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Authorized Official
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Title or Position | OWNER/PRACTICIONER
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Name | DR. LEO SUAREZ
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Credential | M.D.
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Telephone | 561-965-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0063618
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License Number State | FL
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