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General NPI Number Information
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NPI Number | 1821393596
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Entity Type | Individual
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Provider Name | ARLEEN L MORE O'FERRALL APNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 101 E PIER ST STE 23
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City | PORT WASHINGTON
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State | WI
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Zip | 53074-1943
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Country | US
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Telephone | 414-375-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 W DEAN RD
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City | RIVER HILLS
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State | WI
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Zip | 53217-2536
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Country | US
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Telephone | 414-793-9487
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3095-33
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License Number State | WI
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