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General NPI Number Information
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NPI Number | 1912449901
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Entity Type | Individual
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Provider Name | SUSAN GONYA RD, RN
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 15 PHEASANT RUN
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City | EAST KINGSTON
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State | NH
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Zip | 03827-2051
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Country | US
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Telephone | 215-901-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PHEASANT RUN
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City | EAST KINGSTON
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State | NH
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Zip | 03827-2051
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Country | US
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Telephone | 215-901-2149
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Fax | 603-347-1901
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 0699
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 069113-21
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN596814
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN002194
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License Number State | PA
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