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General NPI Number Information
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NPI Number | 1811509854
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Entity Type | Individual
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Provider Name | ANGELICA GRACE ROMASKO
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1 JARRETT WHITE RD
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City | TRIPLER AMC
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone | 808-422-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 E OUTERBRIDGE CT
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City | HONOLULU
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State | HI
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Zip | 96818-5761
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Country | US
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Telephone | 254-368-8771
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 24034
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License Number State | SC
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