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General NPI Number Information
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NPI Number | 1134578842
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Entity Type | Organization
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Legal Business Name | RITA ROMERO, PSYCHOLOGIST A PC
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 334 HOLIDAY WAY
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City | OCEANSIDE
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State | CA
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Zip | 92057-4260
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Country | US
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Telephone | 760-846-0361
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Fax | 858-521-9344
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Provider Business Mailing Address
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Address Line | 3784 MISSION AVE STE 148
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City | OCEANSIDE
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State | CA
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Zip | 92058-1460
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Country | US
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Telephone | 760-846-0361
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Fax | 858-521-9344
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. RITA S ROMERO
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Credential | PHD
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Telephone | 760-846-0361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 14190
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License Number State | CA
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