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General NPI Number Information
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NPI Number | 1053738864
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Entity Type | Individual
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Provider Name | AMY ROYAL PA-C, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 35 BILL FRIES DR BUILDING F
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2730
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Country | US
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Telephone | 843-681-6668
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BILL FRIES DR BUILDING F
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2730
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Country | US
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Telephone | 843-681-6668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12363
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2090
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License Number State | SC
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