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General NPI Number Information
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NPI Number | 1356065759
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Entity Type | Individual
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Provider Name | ALAN ROMERO
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Gender | Male
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 1300 59TH ST W
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City | BRADENTON
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State | FL
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Zip | 34209-4618
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Country | US
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Telephone | 314-673-6765
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Fax |
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Provider Business Mailing Address
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Address Line | 300 45TH ST S
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City | FARGO
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State | ND
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Zip | 58103-1189
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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