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General NPI Number Information
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NPI Number | 1023635356
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Entity Type | Organization
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Legal Business Name | ROYALTY HOME CARE HEALTH CARE BUSINESS
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 1073 ACADIAN DR STE B
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City | GULFPORT
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State | MS
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Zip | 39507-3538
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Country | US
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Telephone | 228-990-9366
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Fax | 877-206-2707
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Provider Business Mailing Address
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Address Line | 1073 ACADIAN DR STE B
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City | GULFPORT
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State | MS
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Zip | 39507-3538
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Country | US
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Telephone | 228-990-9366
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Fax | 877-206-2707
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Authorized Official
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Title or Position | DIRECTOR
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Name | MONICA M CONLEY
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Credential |
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Telephone | 228-697-3417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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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 | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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