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General NPI Number Information
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NPI Number | 1023579315
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Entity Type | Individual
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Provider Name | JAMES BENJAMIN MORONEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 8701 W WATERTOWN PLANK RD
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City | MILWAUKEE
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State | WI
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Zip | 53226-3548
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Country | US
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Telephone | 414-456-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 3186 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89109-2317
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Country | US
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Telephone |
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 27502
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License Number State | NV
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