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General NPI Number Information
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NPI Number | 1649362203
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Entity Type | Individual
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Provider Name | MR. DIANE W ROMEO
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4100 HIGHWAY 59
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City | MANDEVILLE
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State | LA
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Zip | 70471-1961
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Country | US
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Telephone | 985-893-0187
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Fax | 985-893-3735
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Provider Business Mailing Address
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Address Line | 201 HIDDEN SPRINGS LN
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City | COVINGTON
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State | LA
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Zip | 70433-5575
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Country | US
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Telephone | 985-871-7331
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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 |
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License Number State | LA
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