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General NPI Number Information
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NPI Number | 1932211364
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Entity Type | Organization
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Legal Business Name | SUSAN T FORLIFER, MD LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 522 CYNWOOD DR
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City | EASTON
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State | MD
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Zip | 21601-3805
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Country | US
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Telephone | 410-822-5600
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Fax | 410-770-5251
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Provider Business Mailing Address
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Address Line | 522 CYNWOOD DR
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City | EASTON
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State | MD
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Zip | 21601-3805
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Country | US
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Telephone | 410-822-5600
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Fax | 410-770-5251
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN T FORLIFER
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Credential | M.D.
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Telephone | 410-822-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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