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General NPI Number Information
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NPI Number | 1811225261
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Entity Type | Individual
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Provider Name | SUSAN K MUELLER APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 661 S PEACE RD
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City | SYCAMORE
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State | IL
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Zip | 60178-1642
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Country | US
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Telephone | 815-991-3571
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Fax | 815-991-3571
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Provider Business Mailing Address
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Address Line | 661 S PEACE RD
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City | SYCAMORE
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State | IL
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Zip | 60178-1642
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Country | US
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Telephone | 815-991-3571
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Fax | 815-991-3572
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0997036-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209007903
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277000841
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License Number State | IL
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