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General NPI Number Information
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NPI Number | 1104150861
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Entity Type | Individual
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Provider Name | SANDRA ROMO GNP-C, PMHNP-BC, APR
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Gender | Female
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 160 SE 6TH AVE STE A1
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5264
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Country | US
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Telephone | 561-634-8696
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Fax |
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Provider Business Mailing Address
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Address Line | 160 SE 6TH AVE STE A1
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5264
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Country | US
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Telephone | 561-634-8696
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9220697
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN9220697
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9220697
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License Number State | FL
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