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General NPI Number Information
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NPI Number | 1912132960
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Entity Type | Individual
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Provider Name | MARIA SOCORRO A ROMEA PMHNP-C FNP-C ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 125 CHUBB AVE STE 100S
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City | LYNDHURST
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State | NJ
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Zip | 07071-3504
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Country | US
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Telephone | 201-559-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 284 WINFIELD AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07305-1719
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Country | US
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Telephone | 862-210-9859
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00201100
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License Number State | NJ
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