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General NPI Number Information
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NPI Number | 1326433699
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Entity Type | Individual
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Provider Name | ROMINA BROMBERG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 5647 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6325
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Country | US
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Telephone | 954-276-1616
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Fax | 954-985-6186
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Provider Business Mailing Address
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Address Line | 2900 CORPORATE WAY DOOR D
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City | MIRAMAR
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State | FL
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Zip | 33025-3925
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Country | US
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Telephone | 954-276-5685
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Fax | 954-985-7074
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 64166
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME143796
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License Number State | FL
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