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General NPI Number Information
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NPI Number | 1316284219
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Entity Type | Individual
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Provider Name | LISA R ROMERO LPC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 877 W FREMONT AVE STE F-1
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City | SUNNYVALE
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State | CA
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Zip | 94087-2315
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Country | US
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Telephone | 855-284-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 S DOBSON RD STE 103
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City | MESA
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State | AZ
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Zip | 85202-5656
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Country | US
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Telephone | 602-726-4787
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Fax | 480-820-2770
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13128
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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