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General NPI Number Information
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NPI Number | 1477741643
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Entity Type | Individual
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Provider Name | SUSAN DIANE CURTIS MSPT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 55432 COLBY ST
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City | DOWAGIAC
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State | MI
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Zip | 49047-8701
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Country | US
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Telephone | 269-782-7828
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Fax | 269-783-3400
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Provider Business Mailing Address
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Address Line | 55432 COLBY ST
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City | DOWAGIAC
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State | MI
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Zip | 49047-8701
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Country | US
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Telephone | 269-782-7828
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Fax | 269-783-3400
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05004692A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501005019
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License Number State | MI
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