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General NPI Number Information
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NPI Number | 1013999028
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Entity Type | Individual
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Provider Name | SUSAN MARIE BROWN APRN
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 95 CIRCULAR AVE
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City | HAMDEN
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State | CT
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Zip | 06514-4004
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Country | US
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Telephone | 203-288-6253
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Fax | 203-288-0948
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Provider Business Mailing Address
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Address Line | PO BOX 9805
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City | NEW HAVEN
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State | CT
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Zip | 06536-0805
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Country | US
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Telephone |
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Fax |
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 001395
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License Number State | CT
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