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General NPI Number Information
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NPI Number | 1386748481
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Entity Type | Organization
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Legal Business Name | ROYALTY PERSONAL ASSISTANCE SERVICE
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 4030 FM 1765
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City | TEXAS CITY
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State | TX
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Zip | 77591-4828
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Country | US
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Telephone | 409-935-5962
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Fax | 409-935-8093
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Provider Business Mailing Address
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Address Line | 4030 FM 1765
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City | TEXAS CITY
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State | TX
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Zip | 77591
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Country | US
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Telephone | 409-935-5962
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Fax | 409-935-8093
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JULIA FAYE TOTTENHAM
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Credential | RN
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Telephone | 409-935-5962
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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 | 006577
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 012613
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License Number State | TX
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