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General NPI Number Information
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NPI Number | 1881792455
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Entity Type | Individual
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Provider Name | JAMES PATRICK RONAN ARNP
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 9951 MICKELBERRY RD NW STE 101
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City | SILVERDALE
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State | WA
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Zip | 98383-8309
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Country | US
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Telephone | 360-692-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 1582 GULF RD UNIT 1309
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City | POINT ROBERTS
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State | WA
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Zip | 98281-8059
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Country | US
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Telephone | 503-449-0293
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Fax | 503-449-0293
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 088006164N2 PNP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN091542 182
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60076323
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License Number State | WA
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