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General NPI Number Information
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NPI Number | 1194492801
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Entity Type | Organization
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Legal Business Name | ROYAL INTEGRATED CARE LLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 09/26/2021
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Provider Practice Location Address
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Address Line | 6914 S BITTERCRESS RD
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City | TUCSON
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State | AZ
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Zip | 85756-5147
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Country | US
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Telephone | 520-534-9032
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 S BITTERCRESS RD
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City | TUCSON
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State | AZ
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Zip | 85756-5147
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Country | US
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Telephone | 520-534-9032
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Fax |
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Authorized Official
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Title or Position | DNP PMHNP-BC FNP-C
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Name | DR. FUANJIA N FUANGUNYI
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Credential | DNP PMHNP-BC FNP-C
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Telephone | 520-534-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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