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General NPI Number Information
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NPI Number | 1457786790
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Entity Type | Organization
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Legal Business Name | DR JACQUELINE ROMERO DO PA
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 11181 HEALTH PARK BLVD SUITE 2260
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City | NAPLES
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State | FL
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Zip | 34110-5738
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Country | US
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Telephone | 239-514-7315
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Fax | 239-514-7304
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Provider Business Mailing Address
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Address Line | 11181 HEALTH PARK BLVD SUITE 2260
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City | NAPLES
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State | FL
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Zip | 34110-5738
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Country | US
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Telephone | 239-514-7315
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Fax | 239-514-7304
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. JACQUELINE ROMERO
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Credential | D.O.
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Telephone | 239-514-7315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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