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General NPI Number Information
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NPI Number | 1942707161
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Entity Type | Individual
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Provider Name | SUZETTE REBECCA HOLDER DNP, AGPCNP, CNS, RN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 660 LOUISIANA AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11239
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Country | US
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Telephone | 718-669-7100
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Fax | 718-669-7547
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Provider Business Mailing Address
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Address Line | 1009 E 86TH ST APT 3
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City | BROOKLYN
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State | NY
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Zip | 11236-4290
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Country | US
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Telephone | 917-402-7374
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Fax | 718-669-7547
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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 | 599546
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License Number State | NY
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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 | 559546-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 599546-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F308644-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F308644-1
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License Number State | NY
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