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General NPI Number Information
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NPI Number | 1538207410
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Entity Type | Individual
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Provider Name | SUSAN ELIZABETH BIGLEY FNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | HWY 264 MP 388
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City | POLACCA
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State | AZ
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Zip | 86042
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Country | US
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Telephone | 928-737-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 56 PINE DEL DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-9603
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Country | US
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Telephone | 928-213-6100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP1147
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License Number State | AZ
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