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General NPI Number Information
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NPI Number | 1760973341
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Entity Type | Individual
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Provider Name | LORENA HAYDEE ROMANO DDS
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Gender | Female
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 05/19/2018
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Provider Practice Location Address
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Address Line | 1301 EASTRIDGE DR
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City | SLIDELL
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State | LA
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Zip | 70458-3026
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Country | US
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Telephone | 985-643-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 CARROLLTON AVE APT 311
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City | METAIRIE
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State | LA
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Zip | 70005-1887
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Country | US
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Telephone | 504-912-0420
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6867
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License Number State | LA
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