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General NPI Number Information
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NPI Number | 1629376322
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Entity Type | Individual
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Provider Name | SUSANNE SEMLER BIRMAN R.N., C.N.S.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 3620 SAINT ELIZABETH RD
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City | GLENDALE
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State | CA
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Zip | 91206-1228
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Country | US
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Telephone | 818-790-9907
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Fax | 818-799-0990
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Provider Business Mailing Address
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Address Line | 3620 SAINT ELIZABETH RD
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City | GLENDALE
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State | CA
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Zip | 91206-1228
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Country | US
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Telephone | 818-790-9907
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Fax | 818-799-0990
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 578
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License Number State | CA
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