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General NPI Number Information
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NPI Number | 1073302147
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Entity Type | Individual
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Provider Name | RONNESE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1200 13TH AVE
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City | GREEN BAY
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State | WI
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Zip | 54304-2540
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Country | US
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Telephone | 920-873-0998
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 13TH AVE
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City | GREEN BAY
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State | WI
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Zip | 54304-2540
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Country | US
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Telephone | 920-873-0998
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | NA
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | NA
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | NA
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | NA
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | NA
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number | NA
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | NA
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License Number State | WI
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Taxonomy #9
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Taxonomy Code | 364SR0400X
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Taxonomy Name | Rehabilitation Clinical Nurse Specialist
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License Number | NA
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License Number State | WI
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