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General NPI Number Information
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NPI Number | 1275519134
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Entity Type | Individual
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Provider Name | SUSAN M HURLBUT NP
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 1805 HUCKLEBERRY AVE
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City | OMRO
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State | WI
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Zip | 54963-1851
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Country | US
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Telephone | 920-685-7280
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Fax | 920-303-5630
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Provider Business Mailing Address
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Address Line | 1805 HUCKLEBERRY AVE
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City | OMRO
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State | WI
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Zip | 54963-1851
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Country | US
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Telephone | 920-685-7280
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Fax | 920-303-5630
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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 | 1425
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License Number State | WI
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