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General NPI Number Information
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NPI Number | 1346742095
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Entity Type | Individual
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Provider Name | SUSAN NJOROGE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4540 SW MASTERS LOOP APT 212
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City | BEAVERTON
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State | OR
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Zip | 97078-1453
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Country | US
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Telephone | 971-507-2209
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Fax | 971-507-2209
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Provider Business Mailing Address
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Address Line | 26424 GAITED HORSE TRL
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City | SOUTH BEND
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State | IN
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Zip | 46619-4725
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Country | US
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Telephone | 574-383-1500
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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 | 10030310
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License Number State | OR
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