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General NPI Number Information
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NPI Number | 1356583983
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Entity Type | Organization
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Legal Business Name | RODAN HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 2140 W OLYMPIC BLVD STE 501
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City | LOS ANGELES
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State | CA
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Zip | 90006-2273
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Country | US
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Telephone | 213-383-6333
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Fax | 213-383-6444
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Provider Business Mailing Address
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Address Line | 2140 W OLYMPIC BLVD STE 501
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City | LOS ANGELES
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State | CA
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Zip | 90006-2273
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Country | US
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Telephone | 213-383-6333
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Fax | 213-383-6444
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN KIM
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Credential | ENGINEER
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Telephone | 213-383-6333
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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 | 980001492
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License Number State | CA
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