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General NPI Number Information
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NPI Number | 1396417341
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Entity Type | Individual
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Provider Name | KENDALL ROMIG FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 5104 N 67TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-6541
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Country | US
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Telephone | 602-962-6296
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Fax |
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Provider Business Mailing Address
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Address Line | 16435 N SCOTTSDALE RD STE 400
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1745
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 264521
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 264521
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License Number State | AZ
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