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General NPI Number Information
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NPI Number | 1689003782
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Entity Type | Organization
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Legal Business Name | JOSE F ROMNEY RN
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 49 HUDSON PL 1A
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2626
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Country | US
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Telephone | 877-686-0868
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Fax | 206-888-2075
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Provider Business Mailing Address
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Address Line | 49 HUDSON PL 1A
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2626
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Country | US
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Telephone | 877-686-0868
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Fax | 206-888-2075
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE FERNANDES ROMNEY
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Credential | RN
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Telephone | 877-686-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 315459
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License Number State | NY
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