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General NPI Number Information
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NPI Number | 1841506169
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Entity Type | Individual
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Provider Name | SUZANNE TRAN LANE
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 11445 E VIA LINDA STE 2235
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-2655
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Country | US
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Telephone | 602-403-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 7918 W FRANK AVE
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City | PEORIA
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State | AZ
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Zip | 85382-4481
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Country | US
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Telephone | 360-259-9154
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA6825
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License Number State | AZ
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