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General NPI Number Information
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NPI Number | 1235776063
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Entity Type | Organization
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Legal Business Name | ROYAL HOMECARE LLC
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 22 ELIZABETH AVE FL 2
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City | NEWARK
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State | NJ
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Zip | 07108-2828
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Country | US
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Telephone | 908-696-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 22 ELIZABETH AVE FL 2
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City | NEWARK
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State | NJ
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Zip | 07108-2828
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Country | US
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Telephone | 973-991-3736
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIKEM KAY GLOVER
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Credential |
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Telephone | 800-668-2317
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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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