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General NPI Number Information
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NPI Number | 1548396153
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Entity Type | Individual
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Provider Name | SUSAN ALEXANDER COPELAND RN
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1216 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401-6406
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Country | US
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Telephone | 931-490-8371
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Fax | 931-380-2596
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Provider Business Mailing Address
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Address Line | 121 COLLEGE AVE
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-3756
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Country | US
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Telephone | 931-762-1141
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0000055358
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License Number State | TN
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