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General NPI Number Information
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NPI Number | 1407565997
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Entity Type | Organization
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Legal Business Name | SACRAMENTO RIVER HEALTHCARE LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 4993 GOLDEN FOOTHILL PKWY STE 3
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9642
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Country | US
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Telephone | 916-281-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 4993 GOLDEN FOOTHILL PKWY STE 3
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9642
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Country | US
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Telephone | 916-281-4414
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | AMBER L TUELLER
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Credential |
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Telephone | 208-207-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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