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General NPI Number Information
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NPI Number | 1881851004
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Entity Type | Individual
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Provider Name | MICHAEL XUEHUI SU M.D
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Gender | Male
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2701 DEKALB PIKE
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City | NORRISTOWN
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State | PA
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Zip | 19401-1820
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Country | US
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Telephone | 318-918-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 466 RIDGE LN
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City | SPRINGFIELD
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State | PA
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Zip | 19064-1119
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Country | US
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Telephone | 318-918-0525
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Fax | 484-930-0024
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD451871
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License Number State | PA
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