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General NPI Number Information
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NPI Number | 1891254892
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Entity Type | Individual
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Provider Name | SUZANNE C HOWARD PT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 3805 S STRAITS HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749-5146
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Country | US
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Telephone | 231-238-4880
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Fax | 231-238-8777
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Provider Business Mailing Address
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Address Line | 4048 CEDAR BLUFF DR STE 2
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City | PETOSKEY
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State | MI
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Zip | 49770-8895
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Country | US
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Telephone | 231-347-5120
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Fax | 231-347-4844
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501002407
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License Number State | MI
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