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General NPI Number Information
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NPI Number | 1396799706
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Entity Type | Individual
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Provider Name | ROSEMARY ROYCE FNP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 2101 ROSECRANS AVE # 3230
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4749
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Country | US
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Telephone | 323-628-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 100TH ST SW MULTICARE HEALTH SYSTEM EXPRESS CLINIC
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City | TACOMA
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State | WA
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Zip | 98499-2752
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Country | US
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Telephone | 253-584-2119
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN097442
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30000708
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00072972
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License Number State | WA
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