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General NPI Number Information
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NPI Number | 1952512147
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Entity Type | Individual
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Provider Name | MIEKO SUZUKI MCLAFFERTY CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/27/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 2828 FRESNO ST STE 100
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City | FRESNO
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State | CA
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Zip | 93721-1327
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Country | US
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Telephone | 559-263-9648
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Fax | 559-263-9777
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Provider Business Mailing Address
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Address Line | 9749 PINE THICKETT AVE
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City | LAS VEGAS
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State | NV
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Zip | 89147-6747
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Country | US
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Telephone | 702-233-1251
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Fax | 702-255-9811
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 129
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License Number State | CA
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