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General NPI Number Information
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NPI Number | 1588087977
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Entity Type | Individual
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Provider Name | MATTHEW ROMO PHARMD, MPH
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Gender | Male
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 09/18/2016
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Provider Practice Location Address
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Address Line | 55 W 125TH ST FL6
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City | NEW YORK
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State | NY
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Zip | 10027-4516
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Country | US
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Telephone | 646-664-8373
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Fax |
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Provider Business Mailing Address
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Address Line | 55 W 125TH ST FL6
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City | NEW YORK
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State | NY
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Zip | 10027-4516
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03471300
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License Number State | NJ
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