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General NPI Number Information
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NPI Number | 1396927463
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Entity Type | Individual
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Provider Name | SUZANNE SENNETT ENDRIGA CNM
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Gender | Female
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 108 BILBY RD SUITE 305
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-4174
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Country | US
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Telephone | 908-813-8877
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Fax | 908-813-9984
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Provider Business Mailing Address
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Address Line | 108 BILBY RD SUITE 305
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-4174
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Country | US
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Telephone | 908-813-8877
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Fax | 908-813-9984
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 25ME00044801
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License Number State | NJ
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