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General NPI Number Information
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NPI Number | 1326842477
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Entity Type | Organization
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Legal Business Name | ROYAL DIAMOND CARE AGENCY
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 855A MOTHER GASTON BLVD # 5A
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City | BROOKLYN
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State | NY
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Zip | 11212-7041
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Country | US
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Telephone | 347-393-5973
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Fax |
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Provider Business Mailing Address
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Address Line | 855A MOTHER GASTON BLVD # 5A
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City | BROOKLYN
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State | NY
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Zip | 11212-7041
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Country | US
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Telephone | 347-393-5973
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASIA SHAMONTE ASHLEY
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Credential |
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Telephone | 347-254-5429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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