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General NPI Number Information
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NPI Number | 1477538403
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Entity Type | Individual
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Provider Name | SUSAN JEAN FREEBURN R.N.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1335 E WEST HWY SUITE 6-100
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City | SILVER SPRING
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State | MD
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Zip | 20910-3225
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Country | US
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Telephone | 301-295-8118
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Fax | 301-295-7217
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Provider Business Mailing Address
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Address Line | 3917 HALSEY ST
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City | KENSINGTON
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State | MD
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Zip | 20895-1516
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Country | US
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Telephone | 301-295-8118
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Fax | 301-295-7217
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R086056
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License Number State | MD
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