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General NPI Number Information
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NPI Number | 1770001216
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Entity Type | Individual
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Provider Name | MARY ROMNEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 7301 E 2ND ST STE 106
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5609
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Country | US
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Telephone | 602-274-2100
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Fax | 602-535-3166
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Provider Business Mailing Address
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Address Line | 7301 E 2ND ST STE 106
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5609
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Country | US
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Telephone | 480-994-0308
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Fax | 480-941-3740
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6871
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License Number State | AZ
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