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General NPI Number Information
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NPI Number | 1881019966
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Entity Type | Individual
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Provider Name | MARIA DENISE ROMINE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 975 S MYRTLE AVE
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City | TEMPE
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State | AZ
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Zip | 85281
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Country | US
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Telephone | 480-965-2373
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Fax | 480-965-0076
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Provider Business Mailing Address
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Address Line | PO BOX 870102
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City | TEMPE
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State | AZ
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Zip | 85287-0102
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Country | US
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Telephone | 480-965-2373
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Fax | 480-965-0076
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80475
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License Number State | TX
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