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General NPI Number Information
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NPI Number | 1336017920
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Entity Type | Organization
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Legal Business Name | ROYALTY HEARTS
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1958 W 47TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-3435
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Country | US
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Telephone | 216-471-7363
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Fax |
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Provider Business Mailing Address
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Address Line | 1958 W 47TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-3435
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Country | US
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Telephone | 216-471-7363
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KAWANNA SHANTA ROYAL
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Credential |
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Telephone | 216-471-7363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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