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General NPI Number Information
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NPI Number | 1366516999
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Entity Type | Individual
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Provider Name | SUSAN ELIZABETH SCOTT CNM
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1688 N. PERRIS BLVD. SUITE H-4
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City | PERRIS
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State | CA
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Zip | 92571
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Country | US
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Telephone | 951-657-7876
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Fax |
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Provider Business Mailing Address
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Address Line | 26470 HEMPSTEAD CT.
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City | SUN CITY
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State | CA
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Zip | 92586-2546
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Country | US
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Telephone | 951-679-2712
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NURSE MIDWIFE 1221
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License Number State | CA
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