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General NPI Number Information
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NPI Number | 1952356420
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Entity Type | Individual
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Provider Name | SUSAN RAWSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 27507 W RIVER RD
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City | PERRYSBURG
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State | OH
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Zip | 43551-1030
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Country | US
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Telephone | 419-215-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 27507 W RIVER RD
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City | PERRYSBURG
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State | OH
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Zip | 43551-1030
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Country | US
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Telephone | 419-215-5767
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN.105994-COA.01767
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704183563
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License Number State | MI
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