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General NPI Number Information
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NPI Number | 1104620772
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Entity Type | Organization
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Legal Business Name | ROYAL THAI HEALTH SYSTEM LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 646-833-8062
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 61ST ST # 253
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City | WOODSIDE
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State | NY
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Zip | 11377-8767
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Country | US
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Telephone | 646-833-8062
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | JOSE ROBERTO ROMAN
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Credential | MD
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Telephone | 646-833-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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