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General NPI Number Information
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NPI Number | 1467734970
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Entity Type | Individual
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Provider Name | SUSAN M MCLAUGHLIN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 214 E 23RD ST
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City | CHEYENNE
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State | WY
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Zip | 82001-3748
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Country | US
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Telephone | 307-633-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 4059 BURR OAK DR
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City | LOVELAND
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State | CO
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Zip | 80538-2285
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Country | US
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Telephone | 970-685-1128
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21656.1124
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License Number State | WY
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