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General NPI Number Information
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NPI Number | 1508128125
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Entity Type | Individual
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Provider Name | NICHOLAS G RONEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2012
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23219-1930
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Country | US
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Telephone | 804-828-3500
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Fax | 804-828-8606
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Provider Business Mailing Address
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Address Line | PO BOX 780125
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0125
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Country | US
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Telephone | 804-922-4844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 0101254446
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 0101254446
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License Number State | VA
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