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General NPI Number Information
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NPI Number | 1275507121
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Entity Type | Individual
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Provider Name | SUSAN M PEEL ATC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 E BRISTOL RD
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City | FLINT
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State | MI
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Zip | 48552-0001
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Country | US
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Telephone | 810-236-9686
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Fax | 810-236-9602
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Provider Business Mailing Address
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Address Line | 2216 WEBBER AVE
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City | BURTON
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State | MI
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Zip | 48529-2416
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Country | US
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Telephone | 810-743-1177
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Fax | 810-743-8152
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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