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General NPI Number Information
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NPI Number | 1144669136
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Entity Type | Individual
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Provider Name | CINDY MARIE OBRIEN APNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/23/2013
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 10701 W RESEARCH DR
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City | WAUWATOSA
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State | WI
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Zip | 53226-3452
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Country | US
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Telephone | 262-305-6283
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Fax | 855-276-4412
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Provider Business Mailing Address
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Address Line | 5564 CHERRYWOOD CT
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City | HARTFORD
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State | WI
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Zip | 53027-9816
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Country | US
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Telephone | 262-305-6283
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Fax | 855-276-4412
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 532333
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License Number State | WI
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