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General NPI Number Information
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NPI Number | 1891926622
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Entity Type | Individual
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Provider Name | SUZANNE RENEE NOEL M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 1265 DRY RIDGE MOUNT ZION RD
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City | DRY RIDGE
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State | KY
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Zip | 41035-7608
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Country | US
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Telephone | 859-824-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 DRY RIDGE MOUNT ZION RD
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City | DRY RIDGE
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State | KY
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Zip | 41035-7608
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Country | US
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Telephone | 859-824-0477
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | R1339
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License Number State | KY
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