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General NPI Number Information
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NPI Number | 1457494445
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Entity Type | Individual
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Provider Name | ELIZABETH WRIGHT SCHUSSER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 180 DICKENSON ST STE 103
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City | LAHAINA
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State | HI
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Zip | 96761-1215
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Country | US
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Telephone | 808-662-5642
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Fax | 808-662-5642
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Provider Business Mailing Address
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Address Line | 28 PUAPAKE PL APT 1
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City | LAHAINA
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State | HI
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Zip | 96761-3209
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Country | US
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Telephone | 808-662-5642
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Fax | 808-662-5642
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD6743
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License Number State | HI
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