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General NPI Number Information
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NPI Number | 1265451744
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Entity Type | Individual
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Provider Name | GEORGE EUGENE ROONEY JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11711 W BURLEIGH ST
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City | WAUWATOSA
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State | WI
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Zip | 53222-3108
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Country | US
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Telephone | 414-771-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 18230 LE CHATEAU DR
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City | BROOKFIELD
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State | WI
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Zip | 53045-4922
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Country | US
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Telephone | 262-786-7959
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 5000-942-015
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State | IL
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