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General NPI Number Information
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NPI Number | 1275783631
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Entity Type | Individual
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Provider Name | SUZANNE C. HENDERSON MSN,APN-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 1 SQUIBB DR
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1588
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Country | US
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Telephone | 732-227-5551
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Fax | 732-227-3550
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Provider Business Mailing Address
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Address Line | 274 WESTCOTT BLVD
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City | PENNINGTON
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State | NJ
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Zip | 08534-1831
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Country | US
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Telephone | 609-466-2769
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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 | 26NN04390700
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License Number State | NJ
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