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General NPI Number Information
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NPI Number | 1801480470
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Entity Type | Individual
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Provider Name | STACY DAWN ROMINE LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 2050 DOUBLE CREEK DR STE 150
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City | ROUND ROCK
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State | TX
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Zip | 78664-2526
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Country | US
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Telephone | 512-230-3740
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Fax | 512-727-1343
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Provider Business Mailing Address
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Address Line | 421 W 3RD ST APT 1709
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City | AUSTIN
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State | TX
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Zip | 78701-4174
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Country | US
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Telephone | 512-906-6372
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 103442
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License Number State | TX
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