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General NPI Number Information
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NPI Number | 1548384621
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Entity Type | Individual
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Provider Name | SUSANNE YOST
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 140S PARK BLVD
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City | GREENWOOD
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State | IN
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Zip | 46143-8837
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Country | US
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Telephone | 317-525-6220
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Fax | 317-889-0836
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Provider Business Mailing Address
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Address Line | 2256 WOODSWAY DR
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City | GREENWOOD
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State | IN
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Zip | 46143-9564
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Country | US
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Telephone | 317-887-1348
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Fax | 317-882-1631
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34001389A
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License Number State | IN
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