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General NPI Number Information
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NPI Number | 1386070043
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Entity Type | Organization
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Legal Business Name | DRA. ROSA I. ROMAN CARLO, C.S.P.
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 55 CALLE DR BASORA N EDIF MEDICO IV OFICINA 210
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4810
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Country | US
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Telephone | 787-210-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 55 CALLE DR BASORA N EDIF MEDICO IV OFICINA 210
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4810
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Country | US
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Telephone | 787-210-1102
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Fax |
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Authorized Official
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Title or Position | INTERNAL MEDICINE PULMONARY
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Name | DR. ROSA I. ROMAN CARLO
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Credential |
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Telephone | 787-467-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 9009
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License Number State | PR
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