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General NPI Number Information
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NPI Number | 1235344961
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Entity Type | Organization
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Legal Business Name | RAE STAR HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 17215 STUDEBAKER RD. SUITE 175
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City | CERRITOS
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State | CA
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Zip | 90703-2556
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Country | US
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Telephone | 562-865-1340
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Fax | 562-865-1405
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Provider Business Mailing Address
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Address Line | 17215 STUDEBAKER RD. SUITE 175
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City | CERRITOS
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State | CA
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Zip | 90703-2256
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Country | US
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Telephone | 562-865-1340
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Fax | 562-865-1405
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK ROJAS AFAN
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Credential |
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Telephone | 562-881-1091
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 980001554
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License Number State | CA
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