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General NPI Number Information
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NPI Number | 1801314984
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Entity Type | Organization
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Legal Business Name | ROMAXTER LLC
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 325 LAKE AVE
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City | SAINT JAMES
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State | NY
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Zip | 11780-5048
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Country | US
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Telephone | 516-408-0333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 638
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City | SAINT JAMES
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State | NY
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Zip | 11780-0638
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Country | US
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Telephone | 516-408-0333
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT WELL-CHOICES
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Name | GEORGE F BLESSING
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Credential |
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Telephone | 516-462-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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