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General NPI Number Information
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NPI Number | 1598503187
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Entity Type | Organization
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Legal Business Name | RAD HOME CARE LLC
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 9245 LAGUNA SPRINGS DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-7991
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Country | US
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Telephone | 916-365-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 9245 LAGUNA SPRINGS DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-7991
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Country | US
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Telephone | 916-365-9020
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DR. PARDEEP KAHLON
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Credential | MD
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Telephone | 408-707-0591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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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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