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General NPI Number Information
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NPI Number | 1750691507
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Entity Type | Individual
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Provider Name | JANET MARIE MOLONEY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 130 S MAIN ST
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City | LOMBARD
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State | IL
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Zip | 60148-2670
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Country | US
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Telephone | 630-652-1760
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Fax | 630-652-1780
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Provider Business Mailing Address
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Address Line | 130 SOUTH MAIN STREET
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 630-652-1760
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Fax | 630-652-1780
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209007835
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 362167784
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License Number State | IL
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