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General NPI Number Information
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NPI Number | 1578013538
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Entity Type | Organization
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Legal Business Name | RAHBCS HOME CARE, LLC.
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 3644 COPPERCREST DRIVE #102
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City | BRYAN
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State | TX
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Zip | 77802-7780
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Country | US
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Telephone | 979-422-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 5104 GANTON CT
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City | COLLEGE STATION
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State | TX
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Zip | 77845-4479
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Country | US
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Telephone | 979-777-2094
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFERSON DALE CHRISTIAN
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Credential |
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Telephone | 979-777-2094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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