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General NPI Number Information
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NPI Number | 1952423097
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Entity Type | Organization
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Legal Business Name | CARLOS A. ROMERO, MD,PC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 173 MINEOLA BLVD
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City | MINEOLA
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State | NY
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Zip | 11501-2528
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Country | US
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Telephone | 516-741-6464
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Fax | 516-877-2440
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Provider Business Mailing Address
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Address Line | 173 MINEOLA BLVD
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City | MINEOLA
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State | NY
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Zip | 11501-2528
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Country | US
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Telephone | 516-741-6464
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Fax | 516-877-2440
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS A. ROMERO
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Credential | MD
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Telephone | 516-741-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 118857
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License Number State | NY
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