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General NPI Number Information
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NPI Number | 1487610168
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Entity Type | Individual
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Provider Name | SUSAN P STEVENS APRN BC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 154 E MAIN ST
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City | WESTBORO
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State | MA
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Zip | 01581
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Country | US
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Telephone | 508-870-0647
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Fax | 508-799-6325
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Provider Business Mailing Address
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Address Line | 1 CAROL ANN DR
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City | HOPKINTON
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State | MA
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Zip | 01748
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Country | US
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Telephone |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 236049
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License Number State | MA
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