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General NPI Number Information
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NPI Number | 1407895303
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Entity Type | Individual
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Provider Name | SUSAN M CREAGER M.S.N.,A.P.R.N.. B.C
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 601 JOHN ST SUITE M-283
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 269-349-9745
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Fax | 269-349-1013
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Provider Business Mailing Address
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Address Line | 601 JOHN ST SUITE M-283
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 269-349-9745
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Fax | 269-349-1013
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 4704117415
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License Number State | MI
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