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General NPI Number Information
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NPI Number | 1841324274
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Entity Type | Individual
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Provider Name | JA NE'T MICHELLE ROMMERO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 5701 W SLAUSON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90230-6523
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Country | US
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Telephone | 323-744-1457
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 881988
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City | LOS ANGELES
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State | CA
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Zip | 90009-3018
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Country | US
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Telephone | 323-744-1457
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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