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General NPI Number Information
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NPI Number | 1497972541
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Entity Type | Organization
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Legal Business Name | MARGARET L. ROMEO, D.M.D.,P.A.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 546 S 5TH ST
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City | MACCLENNY
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State | FL
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Zip | 32063-2602
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Country | US
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Telephone | 904-259-5007
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Fax | 904-259-8978
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Provider Business Mailing Address
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Address Line | 546 S 5TH ST
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City | MACCLENNY
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State | FL
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Zip | 32063-2602
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Country | US
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Telephone | 904-259-5007
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Fax | 904-259-8978
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARGARET L. ROMEO
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Credential | DMD
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Telephone | 904-259-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN-0014170
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License Number State | FL
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