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General NPI Number Information
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NPI Number | 1689831638
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Entity Type | Organization
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Legal Business Name | RAUL ROMEA, M.D., INC.
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 9300 W STOCKTON BLVD 112
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City | ELK GROVE
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State | CA
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Zip | 95758-8070
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Country | US
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Telephone | 916-682-1800
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Fax | 916-682-8801
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Provider Business Mailing Address
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Address Line | 9300 W STOCKTON BLVD 112
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City | ELK GROVE
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State | CA
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Zip | 95758-8070
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Country | US
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Telephone | 916-682-1800
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Fax | 916-682-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAUL ROMEA
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Credential | MD
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Telephone | 916-682-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C53197
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License Number State | CA
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