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General NPI Number Information
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NPI Number | 1710258918
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Entity Type | Individual
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Provider Name | ROSEMARY BRENNAN MCGONIGLE APN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 364 BERLIN CROSS KEYS RD
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-3473
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Country | US
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Telephone | 856-885-2790
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Fax | 856-221-4108
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Provider Business Mailing Address
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Address Line | 134 BRIDGETON PIKE STE C
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2616
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Country | US
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Telephone | 856-507-2783
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Fax | 856-221-4138
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN288228L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR07189100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00713900
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License Number State | NJ
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