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General NPI Number Information
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NPI Number | 1548462823
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Entity Type | Organization
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Legal Business Name | ROGER M ROMANO DC PA
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1400 CATTLEMEN RD SUITE 103
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City | SARASOTA
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State | FL
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Zip | 34232-6246
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Country | US
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Telephone | 941-954-1515
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Fax | 941-953-3401
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Provider Business Mailing Address
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Address Line | 1400 CATTLEMEN RD SUITE 103
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City | SARASOTA
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State | FL
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Zip | 34232-6246
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Country | US
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Telephone | 941-954-1515
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Fax | 941-953-3401
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROGER M ROMANO
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Credential | DC
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Telephone | 941-954-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH005386
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License Number State | FL
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