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General NPI Number Information
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NPI Number | 1417393927
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Entity Type | Individual
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Provider Name | SUSAN E GUSTAFSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 21 PORTER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6247
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Country | US
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Telephone | 716-664-1909
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Fax | 716-664-2214
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Provider Business Mailing Address
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Address Line | 21 PORTER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6247
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Country | US
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Telephone | 716-664-1909
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Fax | 716-664-2214
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA060649
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA060649
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 016685
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License Number State | NY
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