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General NPI Number Information
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NPI Number | 1174982706
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Entity Type | Organization
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Legal Business Name | ROYAL COMFORT CARE, LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 14003 ELMCROFT AVE
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City | NORWALK
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State | CA
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Zip | 90650-3713
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Country | US
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Telephone | 310-570-0077
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Fax | 310-919-1616
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Provider Business Mailing Address
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Address Line | 14003 ELMCROFT AVE
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City | NORWALK
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State | CA
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Zip | 90650-3713
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Country | US
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Telephone | 310-570-0077
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Fax | 310-919-1616
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Authorized Official
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Title or Position | CEO
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Name | MR. ALLON SHELLY
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Credential | MBR
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Telephone | 310-570-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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