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General NPI Number Information
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NPI Number | 1609855832
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Entity Type | Individual
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Provider Name | SUSAN E CLARK-FRANTZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1309 NORTON AVE SUITE 100
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City | NORTON
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State | OH
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Zip | 44203-6530
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Country | US
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Telephone | 330-825-2355
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Fax | 330-706-0213
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Provider Business Mailing Address
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Address Line | 1309 NORTON AVE
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City | NORTON
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State | OH
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Zip | 44203-6530
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Country | US
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Telephone | 330-825-2355
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Fax | 330-706-0213
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 35074823C
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License Number State | OH
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