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General NPI Number Information
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NPI Number | 1013630029
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Entity Type | Individual
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Provider Name | MARISSA ROMO SRNA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 100 COLLEGE DR
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City | ALLENTOWN
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State | PA
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Zip | 18104-6196
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Country | US
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Telephone | 610-437-4471
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 RIDGEWAY DR
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City | ZIONSVILLE
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State | PA
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Zip | 18092-2041
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 670415
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN670415
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License Number State | PA
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