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General NPI Number Information
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NPI Number | 1548738685
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Entity Type | Individual
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Provider Name | SUZANNE AHDE NP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 19 DAVIS AVE FL 6
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City | NEPTUNE
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State | NJ
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Zip | 07753-4488
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Country | US
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Telephone | 732-897-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD BLDG 2, STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5688
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00873600
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License Number State | NJ
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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 | 26NJ00873600
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License Number State | NJ
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