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General NPI Number Information
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NPI Number | 1821423211
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Entity Type | Individual
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Provider Name | JESS LUPARDUS ROMEO PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 7305 BALTIMORE AVE STE 207
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3232
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Country | US
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Telephone | 240-763-7737
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Fax | 877-763-6239
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Provider Business Mailing Address
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Address Line | 4610 FORDHAM RD
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3725
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Country | US
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Telephone | 240-707-6725
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Fax | 877-763-6239
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2320153
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R247967
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License Number State | MD
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