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General NPI Number Information
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NPI Number | 1003472721
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Entity Type | Organization
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Legal Business Name | ROMAN PODIATRY PARTNERS INC
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 2308 N. ROOSEVELT
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 219-464-9588
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Fax | 219-462-4470
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Provider Business Mailing Address
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Address Line | 2308 N. ROOSEVELT
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 219-464-9588
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Fax | 219-462-4470
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM PAUL ROMAN JR.
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Credential | DPM
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Telephone | 219-577-3975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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