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General NPI Number Information
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NPI Number | 1194903526
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Entity Type | Organization
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Legal Business Name | DR. SUSAN L EARSING P.C.
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 460 VILLAGE HWY
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City | RUSTBURG
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State | VA
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Zip | 24588-2801
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Country | US
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Telephone | 434-332-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 667 BABCOCK RD
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City | RUSTBURG
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State | VA
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Zip | 24588-2801
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Country | US
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Telephone | 434-332-3103
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN LYNN EARSING
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Credential | DC
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Telephone | 434-332-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104555903
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License Number State | VA
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