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General NPI Number Information
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NPI Number | 1326510710
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Entity Type | Individual
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Provider Name | BRANDY ANN ROMEO
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Gender | Female
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Dates
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Enumeration Date | 12/22/2018
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Last Update Date | 12/22/2018
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Provider Practice Location Address
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Address Line | 4801 EDWARDS MILL RD
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City | RALEIGH
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State | NC
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Zip | 27612-4417
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Country | US
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Telephone | 954-684-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 700 MAROUBRA LOOP APT 7301
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City | CARY
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State | NC
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Zip | 27513-8848
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Country | US
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Telephone | 954-684-2511
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 9920
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License Number State | NC
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