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General NPI Number Information
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NPI Number | 1396901609
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Entity Type | Individual
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Provider Name | ROMA L. CRUZ-KING MD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 399 DANIEL WEBSTER HWY
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City | MERRIMACK
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State | NH
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Zip | 03054-4112
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Country | US
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Telephone | 603-429-1611
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Fax | 603-429-1285
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Provider Business Mailing Address
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Address Line | PO BOX 3677
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City | NASHUA
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State | NH
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Zip | 03061-3677
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Country | US
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Telephone | 603-577-7900
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Fax | 603-577-7972
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18416
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 18416
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License Number State | NH
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