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General NPI Number Information
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NPI Number | 1114417821
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Entity Type | Organization
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Legal Business Name | ROYAL HOME CARE
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 506 N MARKET ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-1217
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Country | US
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Telephone | 518-762-9350
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Fax | 518-848-3262
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Provider Business Mailing Address
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Address Line | 506 N MARKET ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-1217
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Country | US
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Telephone | 518-762-9350
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Fax | 518-848-3262
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Authorized Official
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Title or Position | ADMINISTRATOR,RN
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Name | KATHLEEN HAWLEY
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Credential | REGISTERED NURSE
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Telephone | 518-762-9350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NY
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