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General NPI Number Information
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NPI Number | 1336177666
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Entity Type | Individual
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Provider Name | SUSAN L COWDERY MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 3301 LANCASTER PIKE SUITE 9
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City | WILMINGTON
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State | DE
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Zip | 19805-0000
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Country | US
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Telephone | 302-830-5297
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Fax | 302-656-5270
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Provider Business Mailing Address
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Address Line | 200 HYGEIA SUITE 2502
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City | NEWARK
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State | DE
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Zip | 19713-2049
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD031638E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD031638E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C1-0009265
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License Number State | DE
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