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General NPI Number Information
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NPI Number | 1750768776
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Entity Type | Individual
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Provider Name | SUZANNE PELLAR RN, CNS-BC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 1507 WABASH ST SUITE 400D
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-4300
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Country | US
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Telephone | 219-861-8828
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Fax | 219-861-8827
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Provider Business Mailing Address
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Address Line | 7895 GRAND BLVD
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City | HOBART
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State | IN
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Zip | 46342-6665
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Country | US
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Telephone | 219-942-1910
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Fax | 219-942-3829
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 2006010894
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License Number State | IN
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