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General NPI Number Information
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NPI Number | 1841463353
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Entity Type | Organization
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Legal Business Name | ELIOTT ROMERO, MD CORP
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 57340 29 PALMS HWY
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2927
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Country | US
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Telephone | 760-365-2308
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Fax | 760-365-7538
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Provider Business Mailing Address
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Address Line | 57340 29 PALMS HWY
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2927
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Country | US
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Telephone | 760-365-2308
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Fax | 760-365-7538
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Authorized Official
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Title or Position | PROPRIETOR
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Name | ELIOTT ROMERO
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Credential | M.D.
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Telephone | 760-365-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | G48383
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G48383
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License Number State | CA
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