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General NPI Number Information
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NPI Number | 1932351871
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Entity Type | Individual
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Provider Name | KATHLEEN CRAIG ROONEY APRN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 2150 MIDDLE FORK RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-0446
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Country | US
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Telephone | 405-535-9649
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 MIDDLE FORK RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-0446
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Country | US
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Telephone | 405-535-9649
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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 | 79730
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License Number State | OK
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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 | 185404
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License Number State | AK
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