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General NPI Number Information
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NPI Number | 1053489237
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Entity Type | Individual
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Provider Name | SUZANNE LEE COOLEY MSN, RN, CS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 42 WASHINGTON ST SUITE 210
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-1803
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Country | US
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Telephone | 781-416-7317
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Fax | 781-416-4321
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Provider Business Mailing Address
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Address Line | 34 OAK TER
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City | NEWTON HIGHLANDS
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State | MA
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Zip | 02461-1409
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Country | US
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Telephone | 617-244-0235
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Fax | 781-416-4321
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 119642
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License Number State | MA
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