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General NPI Number Information
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NPI Number | 1245673714
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Entity Type | Individual
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Provider Name | ROMA TEEKAMDAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 4530 E MUIRWOOD DR STE 105
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City | PHOENIX
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State | AZ
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Zip | 85048-7693
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Country | US
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Telephone | 480-961-2303
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Fax | 480-961-0419
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Provider Business Mailing Address
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Address Line | 4530 E MUIRWOOD DR STE 105
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City | PHOENIX
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State | AZ
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Zip | 85048-7693
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Country | US
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Telephone | 480-961-2303
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Fax | 480-961-0419
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 67341
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD35400
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 67341
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 74823
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 74823
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License Number State | AZ
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