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General NPI Number Information
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NPI Number | 1326266446
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Entity Type | Individual
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Provider Name | SUSAN MERRIMAN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 9917 N 95TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4586
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Country | US
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Telephone | 480-314-1553
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Fax | 480-314-5795
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Provider Business Mailing Address
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Address Line | 1138 W REDONDO DR
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City | GILBERT
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State | AZ
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Zip | 85233-7553
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6589
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License Number State | AZ
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