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General NPI Number Information
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NPI Number | 1083404396
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Entity Type | Individual
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Provider Name | ANTHONY ROMANO DOMINGUEZ NP
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Gender | Male
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 97 AVE JOSE DE DIEGO
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-919-7919
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Fax | 787-919-7918
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Provider Business Mailing Address
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Address Line | 97 AVE JOSE DE DIEGO AROMANO943@GMAIL.COM
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-919-7919
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Fax | 787-919-7918
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5753
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License Number State | PR
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