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Individual
SUSAN ELIZABETH DODGE
Active
Individual
SUSAN ELIZABETH DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024165401
VA
367A00000X
Advanced Practice Midwife
R147704
MD
367A00000X
Advanced Practice Midwife
RN964344
DC
Other
Enumeration date
03/12/2007
Last updated
05/28/2009
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