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NPI 1376619957

NPI 1376619957 : ARUNA NAMMI M.D : BROOKFIELD, WI

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General NPI Number Information
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    NPI Number           |    1376619957
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    Entity Type          |    Individual 
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    Provider Name        |    ARUNA NAMMI M.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2006
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    275 REGENCY CT STE 200 
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    City                 |    BROOKFIELD
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    State                |    WI
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    Zip                  |    53045-6195
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    Country              |    US
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    Telephone            |    262-955-6601
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    Fax                  |    888-971-4145
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Provider Business Mailing Address
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    Address Line         |    19385 BUCKINGHAM PL 
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    City                 |    BROOKFIELD
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    State                |    WI
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    Zip                  |    53045-6200
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    Country              |    US
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    Telephone            |    414-731-0749
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    Fax                  |    888-971-4145
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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        |    2084A0401X
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    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
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    License Number       |    49817-20
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    49817-20
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    2084P0005X
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    Taxonomy Name        |    Neurodevelopmental Disabilities Physician
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    License Number       |    49817-20
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    49817-20
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    49817-020
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    License Number State |    WI
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Taxonomy #6
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    49817-20
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    License Number State |    WI
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