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General NPI Number Information
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NPI Number | 1386054369
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Entity Type | Organization
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Legal Business Name | ROYALTY CARE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 12734 KENWOOD LANE 5 AND 6
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City | FORT MYERS
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State | FL
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Zip | 33907
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Country | US
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Telephone | 239-243-0512
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Fax | 239-437-9730
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Provider Business Mailing Address
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Address Line | 12734 KENWOOD LN 5 AND 6
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City | FORT MYERS
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State | FL
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Zip | 33907-5638
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Country | US
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Telephone | 239-243-0512
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Fax | 239-437-9730
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROSALBA PINERO
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Credential | RN
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Telephone | 239-243-0512
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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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