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General NPI Number Information
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NPI Number | 1093125205
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Entity Type | Organization
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Legal Business Name | NULIF HOME HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 7111 MARVIN D LOVE FWY SUITE 209
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City | DALLAS
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State | TX
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Zip | 75237-3106
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Country | US
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Telephone | 972-780-5764
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Fax | 972-780-5763
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Provider Business Mailing Address
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Address Line | 7111 MARVIN D LOVE FWY SUITE 209
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City | DALLAS
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State | TX
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Zip | 75237-3106
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Country | US
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Telephone | 972-780-5764
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Fax | 972-780-5763
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JULIUS O OKUNOLA
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Credential |
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Telephone | 972-780-5764
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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 | 015849
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License Number State | TX
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