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General NPI Number Information
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NPI Number | 1508880311
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Entity Type | Individual
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Provider Name | SUSAN MARINA PERDOS RN, NCTMB, LMT, CCHT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5486 WOODLAND PL
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City | CANFIELD
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State | OH
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Zip | 44406-9506
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Country | US
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Telephone | 330-519-4247
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Fax | 330-533-6678
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Provider Business Mailing Address
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Address Line | 5486 WOODLAND PL
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City | CANFIELD
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State | OH
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Zip | 44406-9506
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Country | US
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Telephone | 330-519-4247
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Fax | 330-533-6678
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | RN269374
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN269374
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 20032345
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 308981-00
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | RN269374
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | RN509068L
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | RN509068L
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | RN269374
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 308981-00
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN509068L
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 2003-1345
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License Number State | WV
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