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General NPI Number Information
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NPI Number | 1982989281
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Entity Type | Individual
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Provider Name | SUSAN GATROST APRN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 2400 N OLD TWYMAN RD
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City | INDEPENDENCE
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State | MO
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Zip | 64058-2294
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Country | US
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Telephone | 816-650-6856
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Fax | 816-650-6856
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Provider Business Mailing Address
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Address Line | 2400 N OLD TWYMAN RD
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City | INDEPENDENCE
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State | MO
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Zip | 64058-2294
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Country | US
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Telephone | 816-650-6856
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Fax | 816-650-6856
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 058915
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 14-83058-052
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 058915
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License Number State | MO
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