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General NPI Number Information
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NPI Number | 1154854842
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Entity Type | Organization
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Legal Business Name | ROYAL HOMECARE AGENCY
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 1717 BRITTAIN RD SUITE 313
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City | AKRON
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State | OH
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Zip | 44310-1846
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Country | US
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Telephone | 330-622-3762
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Fax | 330-655-1622
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Provider Business Mailing Address
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Address Line | 10212 AUTUMN CIR
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City | STREETSBORO
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State | OH
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Zip | 44241-4317
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Country | US
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Telephone | 216-509-6431
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OBIANUJU G AGUOLU
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Credential |
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Telephone | 330-622-3762
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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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