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General NPI Number Information
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NPI Number | 1922339878
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Entity Type | Individual
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Provider Name | SHARON D O'NEILL APNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 1708 PARAMOUNT CT
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City | WAUKESHA
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State | WI
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Zip | 53186-3967
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Country | US
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Telephone | 262-522-8640
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 POPLAR DR
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City | WAUKESHA
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State | WI
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Zip | 53188-5958
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Country | US
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Telephone | 414-979-5818
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3956
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3956-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3956-033
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License Number State | WI
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