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General NPI Number Information
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NPI Number | 1306441092
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Entity Type | Individual
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Provider Name | NICHOLAS ROBERT ROMO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 14467 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66223
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Country | US
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Telephone | 913-291-0545
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Fax | 913-291-0546
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Provider Business Mailing Address
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Address Line | 16359 W 171ST ST
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City | OLATHE
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State | KS
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Zip | 66062-4121
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2011023701
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-15239
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License Number State | KS
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