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General NPI Number Information
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NPI Number | 1396031555
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Entity Type | Individual
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Provider Name | SUSAN SAMUELS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 835 HERKIMER ST
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City | BROOKLYN
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State | NY
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Zip | 11233-3031
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Country | US
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Telephone | 914-949-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 89 PILLING ST
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City | BROOKLYN
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State | NY
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Zip | 11207-1608
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Country | US
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Telephone | 718-812-7080
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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 | APRN01959
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPPA041113
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F336729-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7945
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 079135-23
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License Number State | NH
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 83597
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP181270
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NR22013400
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License Number State | NJ
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