Remove from heat. Let the chicken cool for about 20 minutes, and then debone and return the meat to the broth. Do not strain the broth; however, you can skim any foam off the top.
Add onions, celery, spinach, meatballs, basil, parsley, salt, pepper, and garlic, and simmer for another hour.
Add acini de pepe and Romano cheese, and simmer for an additional 15 minutes.
Serve with additional Romano cheese on top for garnish.
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