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General NPI Number Information
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NPI Number | 1770509317
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Entity Type | Organization
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Legal Business Name | SUSAN E. DOWNEY, MD INC.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 181 S BUENA VISTA ST FL 3
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City | BURBANK
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State | CA
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Zip | 91505-4504
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Country | US
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Telephone | 818-748-4930
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Fax | 818-748-4928
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Provider Business Mailing Address
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Address Line | 181 S BUENA VISTA ST FL 3
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City | BURBANK
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State | CA
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Zip | 91505-4504
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Country | US
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Telephone | 818-748-4930
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Fax | 818-748-4928
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN E. DOWNEY
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Credential | MD
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Telephone | 818-748-4930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | G62700
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License Number State | CA
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