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General NPI Number Information
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NPI Number | 1083884191
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Entity Type | Organization
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Legal Business Name | PATRICK ROONEY D.D.S. P.S.
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 215 MARINE DR # 1
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City | BLAINE
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State | WA
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Zip | 98230-4036
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Country | US
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Telephone | 360-332-2400
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Fax | 360-332-7161
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Provider Business Mailing Address
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Address Line | 215 MARINE DR # 1
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City | BLAINE
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State | WA
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Zip | 98230-4036
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Country | US
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Telephone | 360-332-2400
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Fax | 360-332-7161
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK JAMES ROONEY
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Credential | D.D.S. P.S.
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Telephone | 360-332-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00007541
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License Number State | WA
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