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General NPI Number Information
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NPI Number | 1427878230
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Entity Type | Individual
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Provider Name | ELIZABETH ANN DOORNINK APRN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 835 S VAN BUREN ST
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City | GREEN BAY
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State | WI
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Zip | 54301-3526
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Country | US
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Telephone | 920-433-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 1523 N VIOLA ST
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City | APPLETON
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State | WI
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Zip | 54911-3851
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Country | US
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Telephone | 920-202-2662
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1603633
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 209032792
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License Number State | IL
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