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General NPI Number Information
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NPI Number | 1679553648
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Entity Type | Individual
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Provider Name | NANETTE ROLLENE MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 1530 CELEBRATION BLVD
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City | CELEBRATION
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State | FL
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Zip | 34747-5164
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Country | US
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Telephone | 407-745-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S DESPLAINES ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60661-5514
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | ME145761
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | DR.0067673
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | D90859
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 313647
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 50123
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License Number State | MN
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