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General NPI Number Information
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NPI Number | 1801899448
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Entity Type | Individual
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Provider Name | PATRICIA GAIL ROMO CNM
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1492 S MILL AVE SUITE 306
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City | TEMPE
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State | AZ
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Zip | 85281-5652
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Country | US
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Telephone | 480-559-4776
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Fax | 480-907-1686
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Provider Business Mailing Address
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Address Line | 1266 N AMBROSIA
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City | MESA
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State | AZ
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Zip | 85205-4353
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Country | US
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Telephone | 480-654-3312
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Fax | 480-654-3312
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | CM445
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP2342
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | R23590
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License Number State | NM
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