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General NPI Number Information
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NPI Number | 1952379083
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Entity Type | Individual
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Provider Name | SUSAN M FERRELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 272 NEWSTOCK ROAD
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City | ASHEVILLE
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State | NC
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Zip | 28804
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Country | US
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Telephone | 360-477-2396
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Fax |
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Provider Business Mailing Address
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Address Line | 272 NEWSTOCK ROAD
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City | ASHEVILLE
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State | NC
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Zip | 28804
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Country | US
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Telephone | 360-477-2396
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | MD00045660
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD00045660
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License Number State | WA
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