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General NPI Number Information
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NPI Number | 1528592201
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Entity Type | Organization
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Legal Business Name | ROYALTY INC
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 2321 RIVERSIDE DR STE 35
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City | DANVILLE
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State | VA
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Zip | 24540-4210
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Country | US
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Telephone | 434-549-5324
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Fax | 434-549-5326
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Provider Business Mailing Address
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Address Line | 2321 RIVERSIDE DR STE 35
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City | DANVILLE
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State | VA
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Zip | 24540-4210
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Country | US
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Telephone | 434-549-5324
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Fax | 434-549-5326
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Authorized Official
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Title or Position | ADMINISTRTOR
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Name | JODI WHITLOW
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Credential | PERSONAL CARE AGENCY
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Telephone | 434-549-5324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | VA
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