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General NPI Number Information
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NPI Number | 1932757762
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Entity Type | Organization
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Legal Business Name | NC ROYAL TRANSPORTATION CORP
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 25434 SW 122ND PL
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City | HOMESTEAD
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State | FL
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Zip | 33032-5955
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Country | US
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Telephone | 305-922-7235
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Fax | 305-675-2668
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Provider Business Mailing Address
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Address Line | 25434 SW 122ND PL
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City | HOMESTEAD
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State | FL
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Zip | 33032-5955
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Country | US
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Telephone | 305-922-7235
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Fax | 305-675-2668
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Authorized Official
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Title or Position | PRESIDENT
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Name | NADINE O CRESPO
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Credential |
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Telephone | 305-922-7235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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