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General NPI Number Information
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NPI Number | 1093694572
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Entity Type | Individual
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Provider Name | EMMA ROMIGH PA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1336 HWY 54W BLDG. 100, SUITE 100
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City | FAYETTEVILLE
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State | GA
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Zip | 30214
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Country | US
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Telephone | 770-460-9777
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Fax | 678-610-3462
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Provider Business Mailing Address
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Address Line | 1930 BRANNAN RD
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City | MCDONOUGH
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State | GA
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Zip | 30253-4310
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Country | US
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Telephone | 678-284-4040
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1234573
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License Number State | GA
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