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General NPI Number Information
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NPI Number | 1922868413
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Entity Type | Individual
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Provider Name | SUZANNE ABREU DDS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2215 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-2220
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Country | US
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Telephone | 708-218-9642
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Fax |
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Provider Business Mailing Address
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Address Line | 513 S DAMEN AVE APT 715
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City | CHICAGO
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State | IL
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Zip | 60612-5592
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Country | US
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Telephone | 315-406-9382
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.33907
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License Number State | IL
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