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General NPI Number Information
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NPI Number | 1558215996
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Entity Type | Organization
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Legal Business Name | ROYAL ROOTS LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1329 WINSTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21239-3414
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Country | US
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Telephone | 443-416-8434
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 WINSTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21239-3414
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIA LESLIE
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Credential |
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Telephone | 443-386-9191
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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 |
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