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General NPI Number Information
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NPI Number | 1871724617
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Entity Type | Individual
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Provider Name | DAVID PETER SUAREZ D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 1299 MCCARTER HWY STE 1A
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City | NEWARK
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State | NJ
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Zip | 07104-3757
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Country | US
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Telephone | 201-537-7599
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Fax | 201-537-7599
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Provider Business Mailing Address
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Address Line | 22 BYRNE PL
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1002
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Country | US
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Telephone | 855-679-7873
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Fax | 855-679-7873
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | AP0771229-851
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25MB09855100
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License Number State | NJ
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