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General NPI Number Information
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NPI Number | 1891129466
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Entity Type | Individual
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Provider Name | SUSAN BETH SCHAFSNITZ
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 8481 HOLLY RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-1812
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Country | US
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Telephone | 810-694-6382
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Fax | 810-694-6394
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Provider Business Mailing Address
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Address Line | 10063 LAKEWOOD DR
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City | SAGINAW
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State | MI
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Zip | 48609-9702
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5502003048
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201004921
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License Number State | MI
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