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General NPI Number Information
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NPI Number | 1245540137
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Entity Type | Individual
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Provider Name | SUSAN MICHELLE SHORT FNPC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 7008 SALEM AVE STE 117
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City | LUBBOCK
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State | TX
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Zip | 79424-2226
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Country | US
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Telephone | 800-924-7811
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Fax | 877-349-1868
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 1801
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 800-924-7811
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Fax | 877-349-1868
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025049885
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0040582
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 628756
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP115646
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704434851
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License Number State | MI
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