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General NPI Number Information
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NPI Number | 1932875424
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Entity Type | Individual
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Provider Name | SUSAN M BEGNAL AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 404 ZENA RD
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City | WOODSTOCK
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State | NY
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Zip | 12498-2626
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Country | US
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Telephone | 845-679-5271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2839
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City | KINGSTON
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State | NY
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Zip | 12402-2839
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Country | US
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Telephone | 518-755-4694
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 708287-1
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License Number State | NY
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