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General NPI Number Information
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NPI Number | 1952662355
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Entity Type | Organization
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Legal Business Name | SCOLIOSIS & PEDIATRIC ORTHO PA
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 6370 N STATE ROAD 7 SUITE 100
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3606
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Country | US
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Telephone | 954-321-7762
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Fax | 954-321-9596
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Provider Business Mailing Address
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Address Line | 6370 N STATE ROAD 7 SUITE 100
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3606
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Country | US
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Telephone | 954-321-7762
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Fax | 954-321-9596
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER JOHN ROMANO II
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Credential | M.D.
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Telephone | 954-321-7762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | ME62835
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License Number State | FL
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