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General NPI Number Information
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NPI Number | 1740724574
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Entity Type | Organization
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Legal Business Name | ROYALTY GROUP SERVICES INC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 555 WEST FIFTH STREET 31ST FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90013
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Country | US
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Telephone | 310-927-6264
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Fax | 888-856-3416
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Provider Business Mailing Address
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Address Line | 555 WEST FIFTH STREET 31ST FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90013
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Country | US
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Telephone | 310-927-6264
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Fax | 888-856-3416
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Authorized Official
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Title or Position | OWNER
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Name | MAXIMINO CEDENO VARONA
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Credential |
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Telephone | 310-927-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | CA
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