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General NPI Number Information
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NPI Number | 1487379590
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Entity Type | Organization
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Legal Business Name | ERIC ROMANO DDS PLLC
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 3444 PIERSON PL
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City | FLUSHING
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State | MI
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Zip | 48433-2410
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Country | US
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Telephone | 586-733-2750
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Fax |
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Provider Business Mailing Address
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Address Line | 53587 AURORA PARK
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-2523
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Country | US
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Telephone | 586-924-9908
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ERIC ROMANO
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Credential | DDS
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Telephone | 586-924-9908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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