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General NPI Number Information
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NPI Number | 1285957399
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Entity Type | Individual
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Provider Name | ANN M BUNNELL APNP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 1000 MINERAL POINT AVE
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City | JANESVILLE
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State | WI
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Zip | 53548-2940
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Country | US
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Telephone | 608-756-6508
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 MINERAL POINT AVE
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City | JANESVILLE
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State | WI
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Zip | 53548-2940
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Country | US
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Telephone | 608-756-6508
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 499-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 119346-30
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License Number State | WI
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