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General NPI Number Information
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NPI Number | 1871862995
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Entity Type | Individual
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Provider Name | SUSANN H CLOTHIER D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 503 BEAHAN RD
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City | ROCHESTER
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State | NY
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Zip | 14624-3403
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Country | US
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Telephone | 716-912-9666
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Fax | 585-319-4376
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Provider Business Mailing Address
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Address Line | 31 RANCH VILLAGE LN
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City | ROCHESTER
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State | NY
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Zip | 14624-2856
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Country | US
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Telephone | 716-912-9666
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Fax | 585-319-4376
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00696700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 012065
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License Number State | NY
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