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General NPI Number Information
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NPI Number | 1477732824
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Entity Type | Individual
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Provider Name | SUSAN A TODD LIC. AC.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 455 W CENTER ST # A
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1637
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Country | US
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Telephone | 508-587-2693
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Fax |
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Provider Business Mailing Address
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Address Line | 22 BEACON ST
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1418
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Country | US
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Telephone | 508-587-2693
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 376
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License Number State | MA
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