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General NPI Number Information
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NPI Number | 1093780611
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Entity Type | Individual
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Provider Name | SUSAN ELAINE HAROLD MD
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 6001 W OUTER DR SUITE 429
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City | DETROIT
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State | MI
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Zip | 48235-2614
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Country | US
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Telephone | 313-861-3500
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Fax | 313-861-2697
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Provider Business Mailing Address
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Address Line | 6001 W OUTER DR SUITE 429
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City | DETROIT
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State | MI
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Zip | 48235-2614
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Country | US
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Telephone | 313-861-3500
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Fax | 313-861-2697
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | SH032837
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License Number State | MI
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