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General NPI Number Information
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NPI Number | 1265487334
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Entity Type | Individual
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Provider Name | REY R ROMERO M.D
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 91-2139 FORT WEAVER RD SUITE 300
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City | EWA BEACH
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State | HI
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Zip | 96706-3607
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Country | US
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Telephone | 808-680-0558
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Fax | 808-680-0500
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Provider Business Mailing Address
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Address Line | 91-2139 FT WEAVER RD SUITE 300
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City | EWA BEACH
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State | HI
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Zip | 96706
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Country | US
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Telephone | 808-680-0558
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Fax | 808-680-0500
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD12702
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License Number State | HI
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