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General NPI Number Information
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NPI Number | 1992929723
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Entity Type | Organization
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Legal Business Name | ROYAL WELLNESS CENTER
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9730 AUDELIA RD
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City | DALLAS
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State | TX
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Zip | 75238-2058
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Country | US
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Telephone | 214-324-5800
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Fax | 214-324-5838
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Provider Business Mailing Address
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Address Line | 9730 AUDELIA RD
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City | DALLAS
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State | TX
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Zip | 75238-2058
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Country | US
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Telephone | 214-324-5800
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Fax | 214-324-5838
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Authorized Official
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Title or Position | CEO AND DOCTOR
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Name | DR. JULIE ANN ROYAL-GROTEFEND
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Credential | D.C., B.S.
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Telephone | 214-324-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8533
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License Number State | TX
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