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General NPI Number Information
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NPI Number | 1639669609
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Entity Type | Individual
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Provider Name | SUE ANN CAMASO SALDEEN
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Gender | Female
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 5527 EASTBOURNE DR
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City | SPRINGFIELD
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State | VA
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Zip | 22151-1606
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Country | US
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Telephone | 813-766-8183
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Fax |
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Provider Business Mailing Address
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Address Line | 5527 EASTBOURNE DR
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City | SPRINGFIELD
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State | VA
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Zip | 22151-1606
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Country | US
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Telephone | 813-766-8183
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN1044452
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License Number State | DC
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