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NPI 1326109471

NPI 1326109471 : SUSAN JUDITH DUGAN CNS : STORRS, CT

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General NPI Number Information
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    NPI Number           |    1326109471
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    Entity Type          |    Individual 
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    Provider Name        |    SUSAN JUDITH DUGAN CNS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/13/2006
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    337 MANSFIELD ROAD ARJONA 4TH FLOOR
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    City                 |    STORRS
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    State                |    CT
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    Zip                  |    06269-0001
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    Country              |    US
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    Telephone            |    860-486-4705
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    Fax                  |    860-486-0792
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Provider Business Mailing Address
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    Address Line         |    337 MANSFIELD ROAD ARJONA 4TH FLOOR
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    City                 |    STORRS
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    State                |    CT
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    Zip                  |    06269-0001
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    Country              |    US
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    Telephone            |    860-486-4705
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    Fax                  |    860-486-0792
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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        |    364SP0809X
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    Taxonomy Name        |    Adult Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    R41382
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    License Number State |    ND
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