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General NPI Number Information
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NPI Number | 1770052516
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Entity Type | Organization
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Legal Business Name | ROYAL V.P., LLC
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Dates
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Enumeration Date | 11/23/2018
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Last Update Date | 05/31/2021
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Provider Practice Location Address
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Address Line | 224 W CAMPBELL RD # 222
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City | RICHARDSON
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State | TX
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Zip | 75080-3512
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Country | US
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Telephone | 469-991-6010
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Fax | 469-991-6030
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Provider Business Mailing Address
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Address Line | 224 W CAMPBELL RD # 222
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City | RICHARDSON
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State | TX
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Zip | 75080-3512
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Country | US
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Telephone | 469-991-6010
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Fax | 469-991-6030
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RICHARD R DELEON
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Credential | DO
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Telephone | 469-991-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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