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General NPI Number Information
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NPI Number | 1073885356
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Entity Type | Individual
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Provider Name | ALFONSO JOE ROMERO JR. L.AC.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 8727 LA TIJERA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90045-3906
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Country | US
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Telephone | 855-372-3717
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Fax |
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Provider Business Mailing Address
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Address Line | 32222 SEA RAVEN DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-6117
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Country | US
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Telephone | 562-673-9522
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 9554
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License Number State | CA
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