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General NPI Number Information
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NPI Number | 1750094462
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Entity Type | Individual
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Provider Name | SUE ANN BRUSSEAU
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Gender | Female
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 760 S AUBURN ST STE C2
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4318
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Country | US
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Telephone | 916-788-8860
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Fax | 530-265-9376
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Provider Business Mailing Address
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Address Line | 14641 HOMBURG WAY
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City | NEVADA CITY
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State | CA
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Zip | 95959-9453
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Country | US
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Telephone | 530-210-4158
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | OQP
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License Number State | CA
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