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General NPI Number Information
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NPI Number | 1467695932
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Entity Type | Organization
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Legal Business Name | ROMUALDO M LAYGO MD PC
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 601 N ASH ST
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City | SPRINGFIELD
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State | GA
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Zip | 31329-4981
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Country | US
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Telephone | 912-754-6361
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Fax | 912-754-6069
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Provider Business Mailing Address
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Address Line | PO BOX 348
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City | SPRINGFIELD
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State | GA
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Zip | 31329-0348
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Country | US
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Telephone | 912-754-6361
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Fax | 912-754-6069
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROMUALDO M LAYGO
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Credential | M.D.
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Telephone | 912-754-6361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 017843
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License Number State | GA
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