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General NPI Number Information
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NPI Number | 1497039069
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Entity Type | Organization
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Legal Business Name | ROYALTY HOME CARE SERVICE
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 328 QUEEN ANNE DR
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City | SLIDELL
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State | LA
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Zip | 70460
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Country | US
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Telephone | 504-296-0328
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Fax |
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Provider Business Mailing Address
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Address Line | 328 QUEEN ANNE DR
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City | SLIDELL
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State | LA
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Zip | 70460
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Country | US
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Telephone | 504-296-0328
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Fax | 985-643-8074
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Authorized Official
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Title or Position | CEO
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Name | GWENDOLYN ANN HILL
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Credential |
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Telephone | 504-296-0328
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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 | 1019544#YNJ62
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License Number State | LA
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