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General NPI Number Information
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NPI Number | 1972830941
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Entity Type | Individual
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Provider Name | SUZETTE ELYNE SHUSTER LPN
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Gender | Female
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 622 EASTERN AVE
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City | NEW LEXINGTON
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State | OH
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Zip | 43764-9698
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Country | US
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Telephone | 740-343-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 622 EASTERN AVE
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City | NEW LEXINGTON
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State | OH
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Zip | 43764-9698
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Country | US
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Telephone | 740-343-0760
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | 0102593
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN132703
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License Number State | OH
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