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General NPI Number Information
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NPI Number | 1831191576
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Entity Type | Individual
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Provider Name | SUSAN SZUREK FNP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 33475 PALMER RD
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City | WESTLAND
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State | MI
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Zip | 48186-4614
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Country | US
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Telephone | 734-728-2423
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Fax | 734-728-2183
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Provider Business Mailing Address
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Address Line | 6200 INDIANWOOD TRL
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City | BLOOMFIELD
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State | MI
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Zip | 48301-1459
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Country | US
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Telephone | 248-626-3834
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704104724
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License Number State | MI
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