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General NPI Number Information
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NPI Number | 1770436834
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Entity Type | Organization
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Legal Business Name | REGAL REJUVENATION NURSING, PC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 9701 WILSHIRE BLVD STE 1046
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2020
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Country | US
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Telephone | 310-220-0489
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Fax |
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Provider Business Mailing Address
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Address Line | 9701 WILSHIRE BLVD STE 1046
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2020
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Country | US
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Telephone | 310-220-0489
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLISHA FLETCHER
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Credential | RN
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Telephone | 936-346-8065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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