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General NPI Number Information
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NPI Number | 1225249824
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Entity Type | Individual
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Provider Name | SUSAN DORNEY GUILD RN, MS, CPNP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 53 KNIGHTSBRIDGE RD
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City | PISCATAWAY
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State | NJ
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Zip | 08854-3925
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Country | US
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Telephone | 973-865-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 355 FILLMORE ST
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1108
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Country | US
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Telephone | 718-524-4723
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 26NR03815700
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License Number State | NJ
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