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General NPI Number Information
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NPI Number | 1912988411
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Entity Type | Individual
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Provider Name | SUSAN C SCOUTEN APRN-BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 545 SUMTER HWY
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City | BISHOPVILLE
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State | SC
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Zip | 29010-7601
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Country | US
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Telephone | 803-484-5317
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Fax | 803-484-4533
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Provider Business Mailing Address
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Address Line | 13 TETON RD
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City | SUMTER
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State | SC
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Zip | 29154-4659
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Country | US
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Telephone | 803-469-9819
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN 213
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License Number State | SC
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