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General NPI Number Information
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NPI Number | 1770282006
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Entity Type | Organization
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Legal Business Name | ROYAL IV DRIP LLC
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 6666 HARWIN DR STE 157
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City | HOUSTON
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State | TX
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Zip | 77036-2546
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Country | US
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Telephone | 832-834-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 6666 HARWIN DR STE 157
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City | HOUSTON
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State | TX
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Zip | 77036-2546
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Country | US
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Telephone | 832-834-3830
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MARTHA N AKINBILE
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Credential | MSN
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Telephone | 832-834-3830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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