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General NPI Number Information
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NPI Number | 1013197201
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Entity Type | Organization
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Legal Business Name | LAUREN ROMEO MD PA
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1698 W HIBISCUS BLVD STE B
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City | MELBOURNE
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State | FL
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Zip | 32901-2639
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Country | US
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Telephone | 321-676-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 1698 W HIBISCUS BLVD STE B
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City | MELBOURNE
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State | FL
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Zip | 32901-2639
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Country | US
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Telephone | 321-676-2012
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAUREN ROMEO
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Credential | M.D.
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Telephone | 321-676-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME92448
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | ME92448
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License Number State | FL
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