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NPI 1245291822

NPI 1245291822 : WILLIAM JOSEPH ROMANO MD : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1245291822
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM JOSEPH ROMANO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/31/2006
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    Last Update Date     |    04/26/2024
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Provider Practice Location Address
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    Address Line         |    19829 N 27TH AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85027-4001
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    Country              |    US
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    Telephone            |    623-879-5720
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    Fax                  |    623-879-1829
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Provider Business Mailing Address
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    Address Line         |    PO BOX 27340 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85061-7340
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    Country              |    US
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    Telephone            |    602-943-9200
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    Fax                  |    602-216-3000
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    42431
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    4301056320
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    42431
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    License Number State |    AZ
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