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General NPI Number Information
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NPI Number | 1245486737
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Entity Type | Individual
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Provider Name | SUSAN MARIA FREDERICK FNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-6400
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF ROCHESTER STRONG MEM 601 ELMWOOD AVENUE BOX 619-28
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-273-3335
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP023628
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License Number State | PA
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