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General NPI Number Information
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NPI Number | 1942702949
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Entity Type | Organization
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Legal Business Name | DR. JOHN T.A. ROMAO AND ASSOCIATES
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 463 BROADWAY
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City | PROVIDENCE
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State | RI
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Zip | 02909-1625
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Country | US
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Telephone | 401-751-4343
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Fax | 401-751-4347
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Provider Business Mailing Address
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Address Line | 463 BROADWAY
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City | PROVIDENCE
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State | RI
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Zip | 02909-1625
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Country | US
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Telephone | 401-751-4343
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Fax | 401-751-4347
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Authorized Official
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Title or Position | OFFICE PERSONELL
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Name | MRS. MARIA SANTOS
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Credential |
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Telephone | 401-751-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN03351
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN02022
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License Number State | RI
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