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General NPI Number Information
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NPI Number | 1558379735
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Entity Type | Individual
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Provider Name | SUSAN T VOSS N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | 211 S 3RD ST
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City | LOUISIANA
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State | MO
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Zip | 63353-2000
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Country | US
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Telephone | 573-754-5555
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Fax | 573-754-4077
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Provider Business Mailing Address
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Address Line | 163 MEDICAL DR
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City | HANNIBAL
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State | MO
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Zip | 63401-6884
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Country | US
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Telephone | 573-719-1818
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Fax | 573-719-1818
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN104354
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License Number State | MO
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