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General NPI Number Information
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NPI Number | 1629691563
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Entity Type | Organization
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Legal Business Name | ROYAL CITIZENS INC.
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 235 S MAITLAND AVE STE 104
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City | MAITLAND
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State | FL
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Zip | 32751-5629
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Country | US
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Telephone | 407-223-7596
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Fax | 321-363-1722
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Provider Business Mailing Address
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Address Line | 235 S MAITLAND AVE STE 104
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City | MAITLAND
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State | FL
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Zip | 32751-5629
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Country | US
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Telephone | 407-223-7596
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Fax | 321-363-1722
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SANDRA MOMOH-ANABA
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Credential |
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Telephone | 407-223-7596
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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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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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