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General NPI Number Information
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NPI Number | 1548790496
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Entity Type | Individual
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Provider Name | SUSAN O FURRO FNP-C; PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1209 GREENBELT DR
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City | GRIFFIN
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State | GA
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Zip | 30224-4507
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Country | US
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Telephone | 770-358-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 PINECREST DR
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City | ALBANY
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State | GA
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Zip | 31707-3426
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Country | US
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Telephone | 229-338-2441
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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 | RN186730
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN186730
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License Number State | GA
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