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General NPI Number Information
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NPI Number | 1013324581
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Entity Type | Individual
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Provider Name | MR. ROMEO PENAFLOR JR.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 12141 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77082
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Country | US
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Telephone | 281-588-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 25706 CANYON CROSSING DR
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City | RICHMOND
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State | TX
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Zip | 77406-5290
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Country | US
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Telephone | 727-348-9613
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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 | AP125882
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License Number State | TX
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