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General NPI Number Information
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NPI Number | 1013858828
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Entity Type | Organization
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Legal Business Name | ROYAL & INFINITE HEALING
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 112 OWEN RD UNIT 6071
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City | MONONA
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State | WI
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Zip | 53716-5003
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Country | US
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Telephone | 608-581-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 112 OWEN RD UNIT 6071
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City | MONONA
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State | WI
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Zip | 53716-5003
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Country | US
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Telephone | 608-581-0054
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. GAVIN GRANT
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Credential |
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Telephone | 608-581-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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