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General NPI Number Information
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NPI Number | 1588559058
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Entity Type | Organization
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Legal Business Name | J & D ROYAL CARE ELITE LLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 6254 MEMORIAL DR STE C&D
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-2884
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Country | US
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Telephone | 678-296-3364
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Fax |
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Provider Business Mailing Address
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Address Line | 1549 BORDEAUX LN
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City | CONYERS
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State | GA
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Zip | 30094-1109
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Country | US
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Telephone | 678-296-3364
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN JOHNSON
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Credential |
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Telephone | 678-296-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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