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General NPI Number Information
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NPI Number | 1043338262
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Entity Type | Individual
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Provider Name | SUSAN M MCGINNESS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE SUITE 309
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City | MIRAMAR
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State | FL
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Zip | 33029-5593
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Country | US
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Telephone | 954-447-2704
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Fax | 954-447-2708
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Provider Business Mailing Address
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Address Line | 2663 IRMA LAKE DRIVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33411
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Country | US
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Telephone | 954-447-2704
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Fax | 954-447-2708
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2041492
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License Number State | FL
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