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General NPI Number Information
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NPI Number | 1730198292
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Entity Type | Organization
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Legal Business Name | ROYAL OPERATIONS LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1314 BRUNSWICK AVE
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City | TRENTON
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State | NJ
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Zip | 08638-3316
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Country | US
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Telephone | 609-656-9291
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Fax | 609-656-9298
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Provider Business Mailing Address
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Address Line | 1 UNIVERSITY PLZ SUITE 206
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City | HACKENSACK
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State | NJ
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Zip | 07601-6201
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Country | US
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Telephone | 201-488-6789
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Fax | 201-488-7734
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Authorized Official
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Title or Position | MEMBER
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Name | DAVID LACKNER
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Credential | MD
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Telephone | 201-488-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 476002
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License Number State | NJ
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