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General NPI Number Information
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NPI Number | 1891767026
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Entity Type | Individual
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Provider Name | SUSAN A. D. STRONG FNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 351 N MOUNTAIN VIEW AVE RM 104
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City | SAN BERNARDINO
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State | CA
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Zip | 92415-0003
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Country | US
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Telephone | 909-387-6797
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Fax | 909-387-6377
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Provider Business Mailing Address
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Address Line | 34835 MAPLEWOOD LN
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City | YUCAIPA
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State | CA
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Zip | 92399-6841
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Country | US
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Telephone | 909-793-6399
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Fax | 909-307-1027
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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 | 383852
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License Number State | CA
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