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General NPI Number Information
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NPI Number | 1225290224
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Entity Type | Organization
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Legal Business Name | RLJ ENTERPRISES INC
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 2990 N LITCHFIELD RD SUITE 106
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City | GOODYEAR
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State | AZ
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Zip | 85395-7800
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Country | US
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Telephone | 623-935-9961
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Fax | 623-935-9976
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Provider Business Mailing Address
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Address Line | 2990 N LITCHFIELD RD SUITE 106
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City | GOODYEAR
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State | AZ
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Zip | 85395-7800
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Country | US
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Telephone | 623-935-9961
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Fax | 623-935-9976
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RAY JOHNSON
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Credential |
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Telephone | 623-935-9961
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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 | AZ
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