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General NPI Number Information
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NPI Number | 1588908149
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Entity Type | Individual
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Provider Name | SUSAN SOBEL
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Gender | Female
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1717 SHIPYARD BLVD STE 100
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City | WILMINGTON
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State | NC
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Zip | 28403-8019
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Country | US
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Telephone | 910-794-5355
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Fax | 910-794-5358
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Provider Business Mailing Address
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Address Line | PO BOX 947977
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City | ATLANTA
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State | GA
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Zip | 30394-7977
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Country | US
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Telephone | 561-948-0291
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Fax | 561-859-0429
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5006922
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License Number State | NC
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