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General NPI Number Information
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NPI Number | 1487053179
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Entity Type | Organization
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Legal Business Name | ROYAL HOME CARE OF NORTH CAROLINA
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 4416 SOUTHMARK DR SUITE 109
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City | SALISBURY
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State | NC
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Zip | 28147-8273
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Country | US
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Telephone | 800-681-8497
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Fax | 844-852-7565
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Provider Business Mailing Address
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Address Line | PO BOX 36409
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City | GREENSBORO
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State | NC
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Zip | 27416-6409
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Country | US
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Telephone | 800-681-8497
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Fax | 844-852-7565
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Authorized Official
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Title or Position | PRESIDENT
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Name | NYLA PHETVISAY
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Credential |
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Telephone | 704-957-9774
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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 | HC4508
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License Number State | NC
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