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General NPI Number Information
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NPI Number | 1871903989
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Entity Type | Organization
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Legal Business Name | ERIN ROONEY-GODIN
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 2724 NORTHVIEW RD UNIT 41
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City | WAUKESHA
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State | WI
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Zip | 53188-2035
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Country | US
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Telephone | 414-573-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 NORTHVIEW RD UNIT 41
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City | WAUKESHA
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State | WI
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Zip | 53188-2035
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Country | US
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Telephone | 414-573-7000
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MRS. ERIN MARIE ROONEY-GODIN
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Credential | RN,BSN
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Telephone | 414-573-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 156229-30
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License Number State | WI
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