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General NPI Number Information
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NPI Number | 1750038394
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Entity Type | Individual
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Provider Name | MARILU ROMERO PHD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 2728 LUDELLE ST
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City | FORT WORTH
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State | TX
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Zip | 76105-1211
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Country | US
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Telephone | 682-204-8863
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Fax |
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Provider Business Mailing Address
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Address Line | 421 CONNER AVE
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City | FORT WORTH
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State | TX
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Zip | 76105-1114
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Country | US
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Telephone | 562-472-3319
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 202732
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License Number State | TX
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