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General NPI Number Information
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NPI Number | 1003835877
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Entity Type | Individual
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Provider Name | SUSAN K STROTHEIDE PA
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 1320 W STATE ST STE 3A
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City | BELDING
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State | MI
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Zip | 48809-9245
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Country | US
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Telephone | 616-794-1810
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Fax | 616-794-1947
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Provider Business Mailing Address
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Address Line | 1320 W STATE ST STE 3A
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City | BELDING
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State | MI
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Zip | 48809-2272
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Country | US
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Telephone | 616-794-1810
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Fax | 616-794-1947
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601002358
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License Number State | MI
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