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General NPI Number Information
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NPI Number | 1982590337
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Entity Type | Organization
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Legal Business Name | SUAREZ OSTEOPATHIC MEDICINE
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 133 WESTFIELD AVE
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City | CLARK
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State | NJ
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Zip | 07066-2429
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Country | US
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Telephone | 908-514-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 133 WESTFIELD AVE
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City | CLARK
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State | NJ
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Zip | 07066-2429
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Country | US
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Telephone | 908-514-0626
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Fax |
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Authorized Official
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Title or Position | PHYSICIAM
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Name | DR. SERGIO SUAREZ
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Credential | D.O.
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Telephone | 908-514-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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