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General NPI Number Information
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NPI Number | 1629070933
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Entity Type | Individual
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Provider Name | SUSAN K. RAHN RN MS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 1010 FAIRWAY DR
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City | FREEPORT
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State | IL
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Zip | 61032-6600
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Country | US
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Telephone | 815-599-7740
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Fax | 815-599-7650
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Provider Business Mailing Address
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Address Line | 421 W EXCHANGE ST PO BOX 268 BUSINESS OPTIONS MEDICAL BILLING
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City | FREEPORT
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State | IL
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Zip | 61032-0268
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Country | US
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Telephone | 815-599-7950
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Fax | 815-599-7974
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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 | 119161
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License Number State | CO
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