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General NPI Number Information
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NPI Number | 1801943865
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Entity Type | Individual
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Provider Name | ANTHONY MARIO ROMEO APRN
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 10/27/2019
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Provider Practice Location Address
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Address Line | 9800 VALPARAISO DR
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-934-9800
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Fax | 219-924-8831
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR STE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7241
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 28159760A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 041229107
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 71009526A
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License Number State | IN
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