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General NPI Number Information
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NPI Number | 1215181961
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Entity Type | Individual
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Provider Name | SUSAN LYNCH PHILCOX APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1080 SW FENWAY RD
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2303
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Country | US
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Telephone | 561-313-2807
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 SW FENWAY RD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2303
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Country | US
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Telephone | 561-313-2807
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 906597
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13853583-4405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP003192
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R55827
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJI5079700
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R55827
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License Number State | ND
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.026533
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0012761
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License Number State | DE
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10156
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License Number State | MN
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9195037
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9195037
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13853583-4405
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License Number State | UT
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Taxonomy #13
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010645
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License Number State | DE
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 217339
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License Number State | OK
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Taxonomy #15
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 04030
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License Number State | RI
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