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General NPI Number Information
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NPI Number | 1154643195
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Entity Type | Organization
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Legal Business Name | ROYAL PALM MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 941 S MILITARY TRL STE F9
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3980
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Country | US
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Telephone | 561-253-0453
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Fax | 877-849-9990
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Provider Business Mailing Address
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Address Line | 941 S MILITARY TRL # F9
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3980
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Country | US
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Telephone | 561-253-0453
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Fax | 954-541-8525
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. JOHN HARTSHORN
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Credential |
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Telephone | 774-306-1536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ORF153
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | ORF153
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License Number State | FL
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