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General NPI Number Information
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NPI Number | 1871804708
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Entity Type | Organization
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Legal Business Name | BRANDON P. ROMANO PSYD & ASSOCIATES
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 8235 YMCA PLAZA DR STE. 402
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City | BATON ROUGE
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State | LA
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Zip | 70810-0939
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Country | US
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Telephone | 225-769-2533
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Fax | 225-769-2441
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Provider Business Mailing Address
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Address Line | PO BOX 41151
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City | BATON ROUGE
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State | LA
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Zip | 70835-1151
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Country | US
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Telephone | 225-769-2533
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Fax | 225-769-2441
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Authorized Official
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Title or Position | MBR
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Name | BRANDON P ROMANO
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Credential | PSYD
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Telephone | 225-769-2533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 977
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License Number State | LA
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