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General NPI Number Information
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NPI Number | 1568972891
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Entity Type | Organization
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Legal Business Name | RAC & ASSC, INC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2120 THIBODO RD
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City | VISTA
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State | CA
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Zip | 92081-7901
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Country | US
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Telephone | 858-694-5800
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Fax | 760-407-8293
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Provider Business Mailing Address
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Address Line | 2120 THIBODO RD
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City | VISTA
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State | CA
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Zip | 92081-7901
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Country | US
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Telephone | 858-694-5800
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Fax | 760-407-8293
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TERRY JANE RACCIATO
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Credential | RN, PHN
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Telephone | 858-694-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 97361
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License Number State | CA
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