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General NPI Number Information
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NPI Number | 1376734939
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Entity Type | Individual
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Provider Name | SUSAN M FITZGERALD LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 522 NANTASKET AVE BODYWORK DAY SPA
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City | HULL
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State | MA
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Zip | 02045-2521
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Country | US
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Telephone | 781-925-0379
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Fax |
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Provider Business Mailing Address
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Address Line | 46 MAYFLOWER CIR
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City | WHITMAN
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State | MA
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Zip | 02382-1142
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Country | US
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Telephone | 781-925-0379
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 221051
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License Number State | MA
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