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General NPI Number Information
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NPI Number | 1376025650
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Entity Type | Organization
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Legal Business Name | RDA HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/03/2018
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Last Update Date | 09/03/2018
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Provider Practice Location Address
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Address Line | 2130 N ARROWHEAD AVE STE 200
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4023
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Country | US
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Telephone | 661-426-3140
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Fax | 661-322-7771
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Provider Business Mailing Address
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Address Line | 11217 WILBUR AVE
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City | PORTER RANCH
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State | CA
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Zip | 91326-2466
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Country | US
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Telephone | 661-426-3140
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Fax | 661-322-7771
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. RODELIO D AMANTE
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Credential |
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Telephone | 661-426-3140
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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 | CA
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