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General NPI Number Information
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NPI Number | 1811200165
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Entity Type | Individual
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Provider Name | SUZANNE A SALHAB M.D
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 11808 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1536
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Country | US
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Telephone | 813-769-9866
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Fax | 813-315-6313
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Provider Business Mailing Address
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Address Line | 11808 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1536
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Country | US
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Telephone | 813-769-9866
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Fax | 813-315-6313
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME119290
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME119290
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME119290
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | ME119290
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | ME119290
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME119290
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License Number State | FL
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