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General NPI Number Information
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NPI Number | 1720358583
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Entity Type | Individual
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Provider Name | SUSAN ELLEN HOSMER PT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 5263 GOLDEN GATE PKWY SUITE E
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City | NAPLES
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State | FL
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Zip | 34116-7601
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Country | US
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Telephone | 239-352-9884
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Fax | 239-352-8610
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Provider Business Mailing Address
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Address Line | 5263 GOLDEN GATE PKWY SUITE E
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City | NAPLES
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State | FL
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Zip | 34116-7601
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Country | US
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Telephone | 239-352-9884
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Fax | 239-352-8610
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT17533
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License Number State | FL
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