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NPI 1043341654

NPI 1043341654 : SUSAN D PLAYER DC, DABCI, DACBN : CLEARWATER, FL

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General NPI Number Information
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    NPI Number           |    1043341654
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    Entity Type          |    Individual 
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    Provider Name        |    SUSAN D PLAYER DC, DABCI, DACBN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2007
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    Last Update Date     |    05/06/2015
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Provider Practice Location Address
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    Address Line         |    1874 STEVENSON AVE 
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    City                 |    CLEARWATER
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    State                |    FL
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    Zip                  |    33755-1854
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    Country              |    US
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    Telephone            |    727-449-0121
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1874 STEVENSON AVE 
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    City                 |    CLEARWATER
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    State                |    FL
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    Zip                  |    33755-1854
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    Country              |    US
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    Telephone            |    727-449-0121
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    Fax                  |    
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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        |    111NI0900X
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    Taxonomy Name        |    Internist Chiropractor
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    License Number       |    CH0005874
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    License Number State |    FL
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