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General NPI Number Information
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NPI Number | 1871144618
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Entity Type | Individual
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Provider Name | STEVEN SUASTEGUI MD, AP
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Gender | Male
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 4161 NW 5TH ST STE 201
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City | PLANTATION
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State | FL
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Zip | 33317-2101
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Country | US
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Telephone | 954-859-6051
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Fax | 954-349-1716
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Provider Business Mailing Address
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Address Line | 4161 NW 5TH ST STE 201
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City | PLANTATION
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State | FL
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Zip | 33317-2101
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Country | US
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Telephone | 954-859-6051
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Fax | 954-349-1716
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME165419
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 165419
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License Number State | FL
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