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General NPI Number Information
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NPI Number | 1962544270
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Entity Type | Organization
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Legal Business Name | SUSAN H. BECKER, APRN, BC, PC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 20 VERNON ST 2ND FLOOR
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City | NORWOOD
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State | MA
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Zip | 02062-2184
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Country | US
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Telephone | 781-255-0303
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Fax | 781-255-0356
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Provider Business Mailing Address
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Address Line | PO BOX 1782
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City | NORTH EASTHAM
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State | MA
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Zip | 02651-1782
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Country | US
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Telephone | 781-255-0303
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Fax | 781-255-0356
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Authorized Official
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Title or Position | ADVANCED PRACTICE REGISTERED NURSE
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Name | SUSAN H. BECKER
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Credential | APRN, BC
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Telephone | 781-255-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 119469
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License Number State | MA
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