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General NPI Number Information
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NPI Number | 1912734898
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Entity Type | Individual
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Provider Name | ANDREA LOUISE ROMANO FNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 257 E MAIN ST STE B
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City | SMITHTOWN
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State | NY
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Zip | 11787-2807
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Country | US
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Telephone | 631-248-2700
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Fax | 513-913-3486
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Provider Business Mailing Address
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Address Line | 257 EAST MAIN STREET SUITE B
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City | SMITHTOWN
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State | NY
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Zip | 11787
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Country | US
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Telephone | 631-248-2700
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F355126-01
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License Number State | NY
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