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General NPI Number Information
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NPI Number | 1427450642
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Entity Type | Organization
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Legal Business Name | GENA L ROMANOW MD PC
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 5500 KNOLL NORTH DR SUITE 240
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City | COLUMBIA
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State | MD
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Zip | 21045-2370
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Country | US
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Telephone | 410-772-8020
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Fax | 410-772-8021
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Provider Business Mailing Address
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Address Line | 5500 KNOLL NORTH DR SUITE 240
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City | COLUMBIA
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State | MD
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Zip | 21045-2370
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Country | US
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Telephone | 410-772-8020
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Fax | 410-772-8021
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Authorized Official
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Title or Position | MD
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Name | GENA L ROMANOW
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Credential | M.D.
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Telephone | 301-775-9234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0063074
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License Number State | MD
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