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General NPI Number Information
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NPI Number | 1255504569
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Entity Type | Organization
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Legal Business Name | ANIBAL ROMERO, D.D.S.,P.C.
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 4011 WARREN ST
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City | ELMHURST
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State | NY
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Zip | 11373-1700
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Country | US
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Telephone | 718-426-3434
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Fax | 718-426-2114
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Provider Business Mailing Address
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Address Line | 4011 WARREN ST
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City | ELMHURST
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State | NY
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Zip | 11373-1700
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Country | US
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Telephone | 718-426-3434
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Fax | 718-426-2114
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ANIBAL ROMERO
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Credential | D.D.S.
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Telephone | 718-426-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 031386
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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