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General NPI Number Information
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NPI Number | 1952165862
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Entity Type | Organization
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Legal Business Name | ROYAL WEATHERS LOGISTICS INC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 4266 LINDSEY DR
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City | DECATUR
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State | GA
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Zip | 30035-1927
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Country | US
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Telephone | 470-992-0984
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Fax |
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Provider Business Mailing Address
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Address Line | 4266 LINDSEY DR
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City | DECATUR
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State | GA
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Zip | 30035-1927
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Country | US
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Telephone | 470-992-0984
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICE MAHALIA JACKSON-WEATHERS
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Credential | CNA
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Telephone | 470-965-3741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 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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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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