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General NPI Number Information
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NPI Number | 1174864185
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Entity Type | Individual
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Provider Name | SUZE PACIUS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 155 W MERRICK RD STE 201
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City | FREEPORT
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State | NY
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Zip | 11520-3743
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Country | US
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Telephone | 516-726-4752
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Fax | 516-400-0144
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Provider Business Mailing Address
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Address Line | 155 W MERRICK RD STE 201
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City | FREEPORT
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State | NY
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Zip | 11520-3743
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Country | US
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Telephone | 516-726-4752
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Fax | 516-400-0144
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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 | 544028
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403763
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License Number State | NY
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