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General NPI Number Information
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NPI Number | 1194974196
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Entity Type | Individual
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Provider Name | GRETCHEN SUESS MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 1260 S MAIN ST
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City | SALINAS
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State | CA
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Zip | 93901-2288
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Country | US
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Telephone | 831-769-9355
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Fax | 831-754-4955
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Provider Business Mailing Address
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Address Line | 3470 BUSKIRK AVE
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4316
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Country | US
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Telephone | 510-520-0031
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP17791
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License Number State | CA
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