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General NPI Number Information
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NPI Number | 1811401896
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Entity Type | Organization
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Legal Business Name | ROBERT ROMANO, LCSW, LLC
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 30 OLD KINGS HWY S
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City | DARIEN
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State | CT
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Zip | 06820-4551
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Country | US
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Telephone | 203-654-9094
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Fax | 203-263-9713
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Provider Business Mailing Address
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Address Line | 49 WEBB AVE
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City | STAMFORD
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State | CT
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Zip | 06902-4410
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Country | US
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Telephone | 203-856-2574
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Fax | 203-263-9713
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MR. ROBERT ROMANO
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Credential | LCSW
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Telephone | 203-654-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 009692
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License Number State | CT
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