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General NPI Number Information
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NPI Number | 1528252244
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Entity Type | Individual
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Provider Name | SUSAN ARTHUR CONKEY O.T.R.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 130 2ND ST
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City | NEENAH
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State | WI
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Zip | 54956-2883
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Country | US
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Telephone | 920-729-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 S FIDELIS ST
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City | APPLETON
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State | WI
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Zip | 54915-4029
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Country | US
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Telephone | 920-991-0200
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 922026
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License Number State | WI
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