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General NPI Number Information
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NPI Number | 1376127522
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Entity Type | Organization
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Legal Business Name | DR ROMAIN ONTENIENTE LLC
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 907 25TH DR E
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City | ELLENTON
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State | FL
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Zip | 34222-2053
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Country | US
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Telephone | 941-417-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 WOODLEAF HAMMOCK CT
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City | BRADENTON
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State | FL
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Zip | 34211-0508
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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 | OWNER
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Name | ROMAIN ONTENIENTE
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Credential | DPM
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Telephone | 954-439-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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