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General NPI Number Information
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NPI Number | 1841271871
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Entity Type | Individual
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Provider Name | SUZANNE MARIE CSOP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1330 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1402
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Country | US
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Telephone | 814-459-9300
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Fax | 814-451-2280
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Provider Business Mailing Address
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Address Line | 1330 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1402
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Country | US
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Telephone | 814-459-9300
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Fax | 814-451-2280
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS006218L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN281075L
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License Number State | PA
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