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General NPI Number Information
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NPI Number | 1003037045
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Entity Type | Individual
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Provider Name | SUSANNAH SZEIDEL PT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 2601 CAMBRIDGE CT STE 235
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2569
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Country | US
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Telephone | 248-377-1950
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Fax | 248-377-1962
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Provider Business Mailing Address
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Address Line | 3495 S CENTER RD
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City | BURTON
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State | MI
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Zip | 48519-1455
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Country | US
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Telephone | 810-424-2007
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Fax | 810-743-1099
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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 | 5501010982
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License Number State | MI
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