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General NPI Number Information
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NPI Number | 1740875475
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Entity Type | Individual
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Provider Name | RENE'E DANIELLE ROMERO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 9530 COSNER DR STE 200
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-7760
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Country | US
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Telephone | 540-373-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 38 CHARTER GATE DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-8206
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Country | US
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Telephone | 540-538-6630
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001259757
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024188612
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License Number State | VA
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