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NPI 1619065109

NPI 1619065109 : ROMED, INC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1619065109
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROMED, INC 
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Dates
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    Enumeration Date     |    10/10/2006
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    Last Update Date     |    09/25/2013
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Provider Practice Location Address
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    Address Line         |    2860 HEDLEY ST SUITE 101
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19137-1919
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    Country              |    US
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    Telephone            |    888-676-4911
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    Fax                  |    215-624-4118
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6276 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19136-6276
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    Country              |    US
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    Telephone            |    888-676-4911
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    Fax                  |    215-624-4118
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ROMAN  PRISTATSKY 
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    Credential           |    
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    Telephone            |    888-676-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    03324
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    License Number State |    PA
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