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General NPI Number Information
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NPI Number | 1649330135
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Entity Type | Individual
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Provider Name | SUSAN ANN BECKER APN C
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 90 KYMER RD
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City | BRANCHVILLE
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State | NJ
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Zip | 07826
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Country | US
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Telephone | 973-386-3181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000 LB# 7550
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City | PHILADELPHIA
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State | PA
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Zip | 19195-7550
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26N011489900
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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 | 26NJ00092700
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License Number State | NJ
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