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General NPI Number Information
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NPI Number | 1851334585
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Entity Type | Individual
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Provider Name | SUSAN ETTA SKLAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 2999 E OCEAN BLVD UNIT 1130
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City | LONG BEACH
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State | CA
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Zip | 90803-8214
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Country | US
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Telephone | 562-245-9027
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Fax | 562-330-1908
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Provider Business Mailing Address
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Address Line | 5318 E 2ND ST STE 403
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City | LONG BEACH
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State | CA
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Zip | 90803-5324
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Country | US
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Telephone | 562-245-9027
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Fax | 562-330-1908
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G46856
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License Number State | CA
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