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General NPI Number Information
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NPI Number | 1538053400
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Entity Type | Organization
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Legal Business Name | SUSAN N GRAMMATICO DNP FNP LLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 15 OLD PARK LANE RD STE 100
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City | NEW MILFORD
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State | CT
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Zip | 06776-2530
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Country | US
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Telephone | 860-488-4863
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Fax | 833-974-4934
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Provider Business Mailing Address
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Address Line | 15 OLD PARK LANE RD STE 100
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City | NEW MILFORD
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State | CT
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Zip | 06776-2530
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Country | US
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Telephone | 860-488-4863
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Fax | 833-974-4934
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | SUSAN N GRAMMATICO
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Credential | DNP, FNP
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Telephone | 860-488-4863
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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 |
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License Number State |
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