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General NPI Number Information
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NPI Number | 1407553522
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Entity Type | Individual
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Provider Name | SUSAN LAW MITCHELL RDN
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 194 HOWARD ST
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City | NEW LONDON
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State | CT
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Zip | 06320-5544
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Country | US
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Telephone | 860-444-4737
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Fax | 860-865-2375
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Provider Business Mailing Address
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Address Line | 31 TRUMBULL ST
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City | PAWCATUCK
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State | CT
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Zip | 06379-2515
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Country | US
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Telephone | 860-287-4142
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 634
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License Number State | CT
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