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General NPI Number Information
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NPI Number | 1720156672
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Entity Type | Individual
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Provider Name | SUSAN FLINDERS PH. D.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1097 UNION LAKE RD SUITE D
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City | WHITE LAKE
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State | MI
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Zip | 48386-4516
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Country | US
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Telephone | 248-363-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 JACKSON BLVD
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City | HIGHLAND
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State | MI
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Zip | 48356-1546
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Country | US
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Telephone | 810-444-3274
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301007552
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License Number State | MI
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