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NPI Code Detail

MEDICARE: JOAN ROMIN

MEDICARE: JOAN ROMIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1154547396
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN ROMIN
Provider Business Mailing Address
First Line : 1954 OSAGE DR
Second Line :
City : SANTA FE
State : NM
Zip : 87505-3330
Country : US
Telephone Number : 505-983-1985
Fax Number : 505-983-1985
Provider Business Practice Location Address
First Line : 1316 APACHE AVE
Second Line :
City : SANTA FE
State : NM
Zip : 87505-3212
Country : US
Telephone Number : 505-438-0035
Fax Number : 505-438-0051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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