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General NPI Number Information
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NPI Number | 1992080352
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Entity Type | Organization
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Legal Business Name | JAMES N ROMANELLI MD P C
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 510 BROADHOLLOW RD STE 100
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City | MELVILLE
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State | NY
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Zip | 11747-3671
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Country | US
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Telephone | 631-424-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 510 BROADHOLLOW ROAD SUITE 100
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City | MELVILLE
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State | NY
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Zip | 11747
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Country | US
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Telephone | 631-424-3600
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KATHARINE PYNE
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Credential |
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Telephone | 631-424-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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