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General NPI Number Information
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NPI Number | 1598123036
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Entity Type | Individual
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Provider Name | SUSAN M PENNEY APRN, CNM, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 15 OLD ROLLINSFORD RD STE 102
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City | DOVER
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State | NH
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Zip | 03820-2869
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Country | US
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Telephone | 603-742-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 6 OLD ROCHESTER RD STE 203
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City | DOVER
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State | NH
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Zip | 03820-2028
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Country | US
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Telephone | 603-605-8268
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Fax | 603-802-5099
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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 | APRN11001441
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 065254-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN11001441
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License Number State | FL
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