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General NPI Number Information
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NPI Number | 1376469924
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Entity Type | Individual
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Provider Name | SUZANNE MISNER
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Gender | Female
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 900 MERCHANTS CONCOURSE STE 412
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City | WESTBURY
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State | NY
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Zip | 11590-5114
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Country | US
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Telephone | 516-565-6322
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Fax |
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Provider Business Mailing Address
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Address Line | 21 E SAINT MARKS PL
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City | VALLEY STREAM
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State | NY
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Zip | 11580-4442
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Country | US
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Telephone | 845-665-3474
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | N06478
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | N06478
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License Number State | NY
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