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NPI 1063151074

NPI 1063151074 : SAGE IN THE RANCH HOME HEALTH AGENCY INC : RANCHO SANTA FE, CA

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General NPI Number Information
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    NPI Number           |    1063151074
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAGE IN THE RANCH HOME HEALTH AGENCY INC 
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Dates
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    Enumeration Date     |    05/31/2022
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    Last Update Date     |    05/31/2022
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Provider Practice Location Address
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    Address Line         |    6105 PASEO DELICIAS SUITE 7A/B
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    City                 |    RANCHO SANTA FE
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    State                |    CA
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    Zip                  |    92067
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    Country              |    US
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    Telephone            |    858-348-7791
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7172 
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    City                 |    RANCHO SANTA FE
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    State                |    CA
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    Zip                  |    92067-7172
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    Country              |    US
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    Telephone            |    858-348-7791
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |     MARIA RINA CHANG 
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    Credential           |    
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    Telephone            |    858-348-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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