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General NPI Number Information
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NPI Number | 1700068038
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Entity Type | Organization
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Legal Business Name | DIANE M. ROMANO NP, ADULT HEALTH PC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 110 E MAIN ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-2845
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Country | US
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Telephone | 631-424-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 23 BLACK GUM TREE LN
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City | KINGS PARK
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State | NY
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Zip | 11754-1746
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Country | US
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Telephone | 631-424-3600
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DENISE M CALANDRINO
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Credential |
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Telephone | 631-424-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | F303591-1
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License Number State | NY
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