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General NPI Number Information
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NPI Number | 1558466540
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Entity Type | Individual
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Provider Name | SUSAN D CASPER PA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 130 DILLON DR
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City | SPARTANBURG
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State | SC
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Zip | 29307-1018
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Country | US
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Telephone | 800-678-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 5788 ROSWELL RD
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City | ATLANTA
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State | GA
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Zip | 30328-4904
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Country | US
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Telephone | 800-678-4611
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00253
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5184
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9118309
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License Number State | FL
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