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General NPI Number Information
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NPI Number | 1376726596
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Entity Type | Individual
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Provider Name | RANDI SUE FLEXNER FNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 360 ROUTE 73 S
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City | MARLTON
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 856-596-7019
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CVS DR
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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Country | US
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Telephone | 401-770-5779
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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 | 26NN06622200
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License Number State | NJ
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