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General NPI Number Information
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NPI Number | 1215013198
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Entity Type | Individual
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Provider Name | SUSAN G GOMINGER RN,MS,APNC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 600 JESSUP RD
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City | PAULSBORO
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State | NJ
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Zip | 08066-2413
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Country | US
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Telephone | 845-845-4061
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Fax | 845-384-1770
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Provider Business Mailing Address
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Address Line | 600 JESSUP RD
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City | PAULSBORO
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State | NJ
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Zip | 08066-2413
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Country | US
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Telephone | 845-845-4061
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Fax | 845-384-1770
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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 | 363LP1700X
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Taxonomy Name | Perinatal Nurse Practitioner
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License Number | 26NN05354100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NN05354100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 26NN05354100
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License Number State | NJ
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