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General NPI Number Information
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NPI Number | 1588797484
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Entity Type | Organization
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Legal Business Name | ROYAL HEALTHCARE OF NORTH CAROLINA,INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4124 VIEWMONT DR
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City | RALEIGH
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State | NC
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Zip | 27610-5334
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Country | US
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Telephone | 919-326-5265
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Fax | 919-755-0347
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Provider Business Mailing Address
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Address Line | 4124 VIEWMONT DR
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City | RALEIGH
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State | NC
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Zip | 27610-5334
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Country | US
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Telephone | 919-326-5265
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Fax | 919-755-0347
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES B FOWOWE SR.
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Credential |
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Telephone | 919-326-9470
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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 | HC3083
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License Number State | NC
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