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General NPI Number Information
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NPI Number | 1770783938
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Entity Type | Individual
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Provider Name | SUSAN E RUSHING MD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 622 HAVERFORD RD
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City | HAVERFORD
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State | PA
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Zip | 19041-1102
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Country | US
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Telephone | 610-726-1020
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Fax | 610-726-1335
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Provider Business Mailing Address
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Address Line | 540 SCOTT RD
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City | GLADWYNE
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State | PA
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Zip | 19035-1442
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Country | US
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Telephone | 415-505-3356
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Fax | 610-726-1335
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0011104
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C161826
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD436334
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License Number State | PA
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