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General NPI Number Information
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NPI Number | 1508578451
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Entity Type | Individual
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Provider Name | KATLYN M ROMINE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 738 E 200 N
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City | WARSAW
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State | IN
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Zip | 46582-7857
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Country | US
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Telephone | 574-221-6334
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Fax |
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Provider Business Mailing Address
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Address Line | 3328 S 900 W
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City | MENTONE
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State | IN
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Zip | 46539-9347
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Country | US
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Telephone | 219-869-4688
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71013408A
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License Number State | IN
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