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General NPI Number Information
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NPI Number | 1821980335
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Entity Type | Individual
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Provider Name | SUSAN BROUGHT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 942 ROUTE 376
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-6483
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Country | US
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Telephone | 845-486-2850
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Fax | 845-486-2770
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Provider Business Mailing Address
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Address Line | 34 MONROE DR
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-6019
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Country | US
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Telephone | 845-298-2955
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 443905
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License Number State | NY
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