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General NPI Number Information
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NPI Number | 1942207147
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Entity Type | Individual
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Provider Name | SUSAN HOSKINS PT, MPT
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 407 W 63RD ST
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City | WESTMONT
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State | IL
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Zip | 60559-2910
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Country | US
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Telephone | 877-407-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 W WARNER RD STE A2
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City | CHANDLER
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State | AZ
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Zip | 85224-2786
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Country | US
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Telephone | 480-821-2286
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Fax | 480-899-9789
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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 | 5550
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License Number State | AZ
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