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General NPI Number Information
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NPI Number | 1932381373
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Entity Type | Individual
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Provider Name | SELENA RENATA SUSZCZYNSKA PT
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Gender | Female
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 501 AMANA AVE
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3365
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Country | US
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Telephone | 931-433-3929
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Fax |
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Provider Business Mailing Address
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Address Line | 429 BRIDLEWOOD DR
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-7613
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Country | US
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Telephone | 931-433-3929
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0000004094
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License Number State | TN
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