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General NPI Number Information
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NPI Number | 1609011873
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Entity Type | Individual
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Provider Name | JEAN ROBERT ROMULUS M.D
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Gender | Male
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 1428 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210
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Country | US
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Telephone | 718-434-2900
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Fax | 718-421-3285
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Provider Business Mailing Address
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Address Line | 1428 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210
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Country | US
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Telephone | 718-434-2900
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Fax | 718-421-3285
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 152640
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 152640
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License Number State | NY
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