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General NPI Number Information
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NPI Number | 1861886814
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Entity Type | Individual
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Provider Name | YELIZAVETA BAYKINA SUSLOW AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1400 FRANKLIN ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5426
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Country | US
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Telephone | 415-931-8180
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Fax | 415-931-1323
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Provider Business Mailing Address
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Address Line | 31 PANORAMIC WAY FL 1
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City | WALNUT CREEK
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State | CA
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Zip | 94595-1627
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Country | US
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Telephone | 925-938-8686
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Fax | 925-938-7473
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 3035
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License Number State | CA
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