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General NPI Number Information
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NPI Number | 1750861373
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Entity Type | Individual
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Provider Name | SHANNON HUNT ROMER PHD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2711
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Country | US
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Telephone | 937-208-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 8118 CORPORATE WAY
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City | MASON
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State | OH
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Zip | 45040-7350
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Country | US
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Telephone | 937-829-0658
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State | OH
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