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General NPI Number Information
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NPI Number | 1740376136
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Entity Type | Individual
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Provider Name | SUSAN FREAY SULEWSKI FNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3875 E HENRIETTA RD
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City | HENRIETTA
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State | NY
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Zip | 14467-9147
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Country | US
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Telephone | 585-334-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 504 WEBSTER RD
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City | WEBSTER
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State | NY
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Zip | 14580-9562
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Country | US
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Telephone | 585-265-9379
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Fax | 585-265-9379
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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 | F332169
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License Number State | NY
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