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General NPI Number Information
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NPI Number | 1194298315
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Entity Type | Individual
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Provider Name | SUSAN LESLIE MCGRAW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 2589 44TH ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-3877
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Country | US
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Telephone | 616-643-2564
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Fax | 616-643-2539
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Provider Business Mailing Address
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Address Line | 2310 PLEASANT POND DR SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-8488
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Country | US
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Telephone | 616-719-7720
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7101000856
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License Number State | MI
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