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General NPI Number Information
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NPI Number | 1659748242
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Entity Type | Individual
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Provider Name | AMANDA MARIE ROMERO N.P
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Gender | Female
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 301 INDUSTRIAL RD
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City | SAN CARLOS
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State | CA
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Zip | 94070-2603
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Country | US
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Telephone | 650-321-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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Country | US
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Telephone | 650-321-4121
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Fax | 510-533-1870
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP95002755
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 824087
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License Number State | CA
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