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General NPI Number Information
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NPI Number | 1154432235
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Entity Type | Organization
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Legal Business Name | ROYAL OAKS HEALTH CARE INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3420 FANNIN ST SUITE 150
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City | BEAUMONT
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State | TX
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Zip | 77701-3809
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Country | US
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Telephone | 409-833-1444
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Fax | 409-833-1819
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Provider Business Mailing Address
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Address Line | 3420 FANNIN ST SUITE 150
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City | BEAUMONT
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State | TX
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Zip | 77701-3809
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Country | US
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Telephone | 409-833-1444
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Fax | 409-833-1819
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Authorized Official
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Title or Position | CEO/CFO
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Name | MR. INNOCENT ONYENAUCHEYA
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Credential | N/A
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Telephone | 409-833-1444
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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 | 010464
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License Number State | TX
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