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General NPI Number Information
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NPI Number | 1770584328
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Entity Type | Organization
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Legal Business Name | ROYALE HEALTH CARE CENTER INC.
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1030 W WARNER AVE
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City | SANTA ANA
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State | CA
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Zip | 92707-3147
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Country | US
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Telephone | 714-546-6450
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Fax | 714-546-8411
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Provider Business Mailing Address
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Address Line | 1030 W WARNER AVE
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City | SANTA ANA
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State | CA
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Zip | 92707-3147
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Country | US
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Telephone | 714-546-6450
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Fax | 714-546-8411
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DONALD PATRICK CONNELLY JR.
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Credential |
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Telephone | 714-546-6450
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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 | 060000165
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License Number State | CA
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