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Individual
SUSAN L PAYSON
Active
Individual
SUSAN L PAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34006500
OH
207Q00000X
Family Medicine Physician
Primary
34006500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379315
BLUE SHIELD
OH
05
—
2178932
—
OH
01
—
P00280302
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
01/20/2020
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