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General NPI Number Information
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NPI Number | 1215478581
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Entity Type | Individual
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Provider Name | SUSAN ANN STIMSON M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 1800 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32804-7012
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Country | US
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Telephone | 407-843-0441
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Fax | 407-841-7078
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Provider Business Mailing Address
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Address Line | 1800 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32804-7012
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Country | US
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Telephone | 407-843-0041
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Fax | 407-841-7078
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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