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General NPI Number Information
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NPI Number | 1407952013
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Entity Type | Organization
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Legal Business Name | ROYALTY MEDICAL SUPPLY CORPORATION
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8633 W AIRPORT BLVD STE 1011
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City | HOUSTON
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State | TX
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Zip | 77071-2479
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Country | US
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Telephone | 713-776-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 14551 BEECHNUT ST APT 9307
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City | HOUSTON
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State | TX
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Zip | 77083-4602
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Country | US
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Telephone | 832-681-0285
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL C EKONG
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Credential |
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Telephone | 832-681-0285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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