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General NPI Number Information
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NPI Number | 1417581588
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE SUSKO RN, MSN, FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 3300 BATTLEGROUND AVE STE 220
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City | GREENSBORO
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State | NC
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Zip | 27410-2490
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Country | US
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Telephone | 336-891-3857
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LOTHROP ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014950
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0103338
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5014950
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN652991
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4010974
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 968511
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP021377
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 34302
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License Number State | NC
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