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General NPI Number Information
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NPI Number | 1568695534
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Entity Type | Individual
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Provider Name | JENNA ELIZABETH ROONEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 10304 NE 68TH ST A101
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City | KIRKLAND
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State | WA
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Zip | 98033-7057
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Country | US
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Telephone | 425-922-2678
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60096438
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License Number State | WA
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