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General NPI Number Information
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NPI Number | 1386465680
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Entity Type | Organization
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Legal Business Name | ROYAL PINNACLE SERVICES
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 11/17/2024
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Provider Practice Location Address
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Address Line | 2401 FOUNTAIN VIEW DR STE 464
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City | HOUSTON
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State | TX
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Zip | 77057-4819
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Country | US
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Telephone | 804-247-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 280 CHARLES H DIMMOCK PKWY STE 1
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2940
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Country | US
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Telephone | 804-247-3997
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. EZECHUKWU PRINCE IBEKWE
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Credential | RN
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Telephone | 804-247-3997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QH0100X
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Taxonomy Name | Health Service 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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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