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General NPI Number Information
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NPI Number | 1326676479
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Entity Type | Organization
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Legal Business Name | ROYAL HEALTH & WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 400 E KALISTE SALOOM RD STE 2600A
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City | LAFAYETTE
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State | LA
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Zip | 70508-8508
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Country | US
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Telephone | 337-281-9144
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Fax | 337-345-5377
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Provider Business Mailing Address
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Address Line | 4400 AMBASSADOR CAFFERY PKWY STE H
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City | LAFAYETTE
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State | LA
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Zip | 70508-6760
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Country | US
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Telephone | 337-739-2058
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Fax | 337-345-5377
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Authorized Official
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Title or Position | APRN
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Name | HELEN OLASUNMADE AJALA
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Credential |
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Telephone | 337-281-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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