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General NPI Number Information
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NPI Number | 1548584709
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Entity Type | Organization
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Legal Business Name | ROYAL OAKS WELLNESS, LLC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 14339 TORREY CHASE BLVD., SUITE B
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City | HOUSTON
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State | TX
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Zip | 77014
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Country | US
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Telephone | 281-556-9355
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Fax | 281-596-9355
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Provider Business Mailing Address
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Address Line | 12906 RED OAK GLEN DRIVE
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-556-9355
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Fax | 281-596-9355
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Authorized Official
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Title or Position | MANAGER/PROVIDER
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Name | DR. TRICIA ANN KAPAVIK
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Credential | DC
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Telephone | 281-556-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11383
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License Number State | TX
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