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General NPI Number Information
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NPI Number | 1972692028
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Entity Type | Individual
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Provider Name | SUSAN VEST MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 200 WEST HOSPITAL DRIVE
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City | WHITERIVER
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State | AZ
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Zip | 85941-0860
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Country | US
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Telephone | 928-338-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 EVERGREEN LN D
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City | SHOW LOW
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State | AZ
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Zip | 85901-7928
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Country | US
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Telephone | 928-537-2200
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Fax | 928-537-2204
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35860
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0097-01183
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35860
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0097-01183
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License Number State | NC
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