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General NPI Number Information
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NPI Number | 1669264800
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Entity Type | Individual
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Provider Name | KIERAN ROONEY
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Gender | Male
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 73 S RIVERSIDE DR
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City | ELGIN
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State | IL
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Zip | 60120-6452
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Country | US
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Telephone | 847-243-6458
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Fax |
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Provider Business Mailing Address
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Address Line | 564 DOUGLAS AVE
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City | ELGIN
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State | IL
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Zip | 60120-3672
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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