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General NPI Number Information
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NPI Number | 1295537843
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Entity Type | Organization
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Legal Business Name | DRM ROYALTY LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 534 NW 22ND AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-7720
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Country | US
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Telephone | 954-715-0678
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Fax |
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Provider Business Mailing Address
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Address Line | 534 NW 22ND AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-7720
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Country | US
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Telephone | 954-715-0678
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Fax |
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Authorized Official
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Title or Position | ITDS
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Name | MS. PATRICIA N DEDE
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Credential |
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Telephone | 954-715-0678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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