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General NPI Number Information
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NPI Number | 1851683882
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Entity Type | Organization
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Legal Business Name | ROME MEDICAL PRACTICE
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 1617 N JAMES ST SUITE 800
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City | ROME
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State | NY
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Zip | 13440-2852
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Country | US
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Telephone | 315-337-3071
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Fax | 315-337-3718
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Provider Business Mailing Address
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Address Line | 1617 N JAMES ST SUITE 800
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City | ROME
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State | NY
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Zip | 13440-2852
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Country | US
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Telephone | 315-337-3071
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Fax | 315-337-3718
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALEED ALBERT
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Credential | MD
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Telephone | 315-338-7232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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