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General NPI Number Information
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NPI Number | 1134504343
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Entity Type | Organization
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Legal Business Name | ROYAL CARE SERVICES
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 12724 W 9 MILE RD
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City | OAK PARK
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State | MI
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Zip | 48237-2959
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Country | US
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Telephone | 313-510-0840
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Fax |
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Provider Business Mailing Address
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Address Line | 12724 W 9 MILE RD
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City | OAK PARK
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State | MI
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Zip | 48237-2959
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Country | US
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Telephone | 313-510-0840
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NAVEEN MAJETY
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Credential |
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Telephone | 301-560-7154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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