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General NPI Number Information
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NPI Number | 1598767915
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Entity Type | Individual
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Provider Name | SUSAN DENISE MCDOWELL RN, MSN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 4133 GATEWAY BLVD SUITE 220
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City | NEWBURGH
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State | IN
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Zip | 47630-7953
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Country | US
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Telephone | 812-858-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 4133 GATEWAY BLVD SUITE 220
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City | NEWBURGH
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State | IN
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Zip | 47630-7953
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Country | US
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Telephone | 812-858-3131
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71003152A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 71003152A
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License Number State | IN
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