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General NPI Number Information
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NPI Number | 1689935470
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Entity Type | Individual
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Provider Name | SUSAN GARR APRN
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 6830 W OQUENDO RD SUITE 102
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City | LAS VEGAS
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State | NV
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Zip | 89118-2539
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Country | US
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Telephone | 702-385-9933
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Fax | 702-385-4586
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Provider Business Mailing Address
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Address Line | 6830 W OQUENDO RD SUITE 102
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City | LAS VEGAS
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State | NV
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Zip | 89118
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Country | US
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Telephone | 702-385-9933
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Fax | 702-385-4586
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4092
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 001378
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 280
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License Number State | HI
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