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General NPI Number Information
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NPI Number | 1124586722
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Entity Type | Organization
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Legal Business Name | ROYALTY CARE LLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 4625 LINDELL BLVD # 214
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3725
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Country | US
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Telephone | 314-649-5421
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Fax | 336-890-8523
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Provider Business Mailing Address
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Address Line | PO BOX 11027
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City | SAINT LOUIS
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State | MO
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Zip | 63135-0027
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Country | US
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Telephone | 314-649-5421
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Fax | 336-890-8523
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NATARA RANIECE KING
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Credential |
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Telephone | 314-437-1457
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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 |
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