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General NPI Number Information
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NPI Number | 1649254921
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Entity Type | Individual
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Provider Name | SUSAN DENISE MONTEI RN-WHNP
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1200 WASHINGTON AVE
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City | BAY CITY
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State | MI
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Zip | 48708-5756
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Country | US
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Telephone | 989-895-4015
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Fax | 989-892-2438
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Provider Business Mailing Address
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Address Line | 1551 N SHERIDAN RD
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City | FAIRGROVE
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State | MI
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Zip | 48733-9542
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Country | US
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Telephone | 989-895-4015
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Fax | 989-892-2438
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4704117500
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License Number State | MI
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