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General NPI Number Information
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NPI Number | 1598080103
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Entity Type | Individual
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Provider Name | SUSAN D OSADA DC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 13 1/2 EAGLE ST SUITE G
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City | ASHEVILLE
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State | NC
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Zip | 28801-3794
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Country | US
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Telephone | 828-301-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 312 UNION ST S
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City | CONCORD
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State | NC
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Zip | 28025-5018
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Country | US
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Telephone | 828-301-2383
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2501
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License Number State | NC
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