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General NPI Number Information
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NPI Number | 1831833698
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Entity Type | Individual
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Provider Name | SUSAN THORNTON CLAPP AGNP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 1331 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-6302
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Country | US
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Telephone | 336-482-2944
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Fax |
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Provider Business Mailing Address
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Address Line | 5293 COX LN
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City | LIBERTY
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State | NC
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Zip | 27298-8408
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Country | US
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Telephone | 336-684-4696
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | CLAP-GADYC
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License Number State | NC
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