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General NPI Number Information
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NPI Number | 1356512529
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Entity Type | Organization
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Legal Business Name | P CHARLES ROMANICK MD PA
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 204 WEST WINDCREST
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4408
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Country | US
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Telephone | 830-997-4043
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Fax | 830-997-0301
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Provider Business Mailing Address
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Address Line | 204 WEST WINDCREST
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4408
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Country | US
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Telephone | 830-997-4043
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Fax | 830-997-0301
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER CHARLES ROMANICK SR.
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Credential | M.D.
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Telephone | 830-997-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G2215
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License Number State | TX
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