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NPI 1437507878

NPI 1437507878 : BARBARA H ROMFO LLC : PRINCETON, WV

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General NPI Number Information
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    NPI Number           |    1437507878
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARBARA H ROMFO LLC 
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Dates
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    Enumeration Date     |    05/26/2016
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    Last Update Date     |    07/16/2019
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Provider Practice Location Address
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    Address Line         |    321 ROGERS ST 
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    City                 |    PRINCETON
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    State                |    WV
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    Zip                  |    24740-3639
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    Country              |    US
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    Telephone            |    304-660-9661
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    Fax                  |    304-309-5136
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Provider Business Mailing Address
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    Address Line         |    211 4TH AVE 
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    City                 |    HINTON
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    State                |    WV
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    Zip                  |    25951-2203
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    Country              |    US
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    Telephone            |    304-660-9661
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    Fax                  |    304-309-5136
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Authorized Official
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    Title or Position    |    LICENSED PSYCHOLOGIST
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    Name                 |    DR. BARBARA HUNTER ROMFO 
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    Credential           |    PH.D.
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    Telephone            |    304-660-9661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    956
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    License Number State |    WV
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