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General NPI Number Information
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NPI Number | 1013866243
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Entity Type | Individual
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Provider Name | SUSAN JOANITTA BRATHWAITE RN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 300 CHESTNUT ST STE 300
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City | NEEDHAM
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State | MA
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Zip | 02492-2427
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Country | US
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Telephone | 781-559-0541
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Fax | 781-559-0540
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Provider Business Mailing Address
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Address Line | 300 CHESTNUT ST STE 300
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City | NEEDHAM
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State | MA
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Zip | 02492-2427
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Country | US
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Telephone | 781-559-0540
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Fax | 781-559-0541
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 255311
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License Number State | MA
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