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NPI 1639007420

NPI 1639007420 : SUSSEX NP : FRANKFORD, DE

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General NPI Number Information
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    NPI Number           |    1639007420
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUSSEX NP 
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Dates
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    Enumeration Date     |    05/12/2026
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    Last Update Date     |    05/12/2026
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Provider Practice Location Address
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    Address Line         |    21209 SHELL STATION RD 
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    City                 |    FRANKFORD
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    State                |    DE
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    Zip                  |    19945-2457
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    Country              |    US
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    Telephone            |    302-381-9329
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    Fax                  |    302-406-1892
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Provider Business Mailing Address
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    Address Line         |    21209 SHELL STATION RD 
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    City                 |    FRANKFORD
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    State                |    DE
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    Zip                  |    19945-2457
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    Country              |    US
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    Telephone            |    302-381-9329
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    Fax                  |    302-406-1892
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CASSANDRA A BROSNAHAN 
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    Credential           |    
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    Telephone            |    302-381-9329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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