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Individual
SUSAN E DOCK
Active
Individual
SUSAN E DOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP019668
PA
363L00000X
Nurse Practitioner
SP019668
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019668
PA
363LP2300X
Primary Care Nurse Practitioner
SP019668
PA
Other
Enumeration date
12/17/2018
Last updated
03/27/2026
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