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General NPI Number Information
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NPI Number | 1992919484
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Entity Type | Individual
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Provider Name | SUSAN A BALTZ FNP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 5211 W 9TH AVE
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City | AMARILLO
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State | TX
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Zip | 79106-4120
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Country | US
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Telephone | 806-731-1516
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1156
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City | CANYON
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State | TX
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Zip | 79015
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Country | US
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Telephone | 806-206-1494
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Fax | 806-731-1516
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP107029
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 251159
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License Number State | TX
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