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General NPI Number Information
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NPI Number | 1144374653
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Entity Type | Organization
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Legal Business Name | RUNNING RIVER HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 11110 ARTESIA BLVD STE E
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City | CERRITOS
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State | CA
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Zip | 90703-2546
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Country | US
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Telephone | 562-474-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 11110 ARTESIA BLVD STE E
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City | CERRITOS
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State | CA
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Zip | 90703-2546
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN VILANO
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Credential |
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Telephone | 562-474-1541
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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 | 980000977
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License Number State | CA
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