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General NPI Number Information
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NPI Number | 1700098365
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Entity Type | Individual
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Provider Name | REBECCA WHITE ROMEO LPC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1706 DAVIE AVE
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City | STATESVILLE
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State | NC
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Zip | 28677-3589
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Country | US
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Telephone | 704-872-5990
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Fax | 704-872-5448
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Provider Business Mailing Address
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Address Line | 1512 AVONDALE DR
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City | STATESVILLE
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State | NC
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Zip | 28625-8739
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Country | US
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Telephone | 704-872-2672
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3663
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License Number State | NC
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