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General NPI Number Information
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NPI Number | 1962623090
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Entity Type | Organization
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Legal Business Name | HARRY W. ROYAL, MD
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 505 W LEIGH ST SUITE302
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City | RICHMOND
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State | VA
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Zip | 23220-3200
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Country | US
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Telephone | 804-648-1601
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Fax | 804-783-8133
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Provider Business Mailing Address
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Address Line | PO BOX 26524
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City | RICHMOND
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State | VA
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Zip | 23261-6524
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Country | US
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Telephone | 804-648-1601
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Fax | 804-783-8133
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. HARRY WILLIS ROYAL
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Credential | M.D.
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Telephone | 804-648-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101020926
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License Number State | VA
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