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General NPI Number Information
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NPI Number | 1225356710
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Entity Type | Individual
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Provider Name | ERIC A ROMP PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 25950 DIXIE HWY # 500
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City | PERRYSBURG
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State | OH
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Zip | 43551-2983
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Country | US
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Telephone | 567-585-0010
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Fax | 567-225-3490
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Provider Business Mailing Address
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Address Line | 100 MADISON AVE
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City | TOLEDO
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State | OH
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Zip | 43604-1516
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50-003051
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License Number State | OH
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