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Individual
SUSAN M BEAN
Active
Individual
SUSAN M BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8324527
—
WA
01
—
AU426WA
ALASKA MEDICAID
WA
01
—
BE4477
INDIVIDUAL BLUE SHIELD
WA
Enumeration date
02/22/2006
Last updated
06/17/2008
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