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General NPI Number Information
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NPI Number | 1093953804
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Entity Type | Organization
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Legal Business Name | AMICARE HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 2900 CRESTHAVEN DR
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City | MESQUITE
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State | TX
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Zip | 75149-3573
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Country | US
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Telephone | 972-966-9023
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Fax | 972-290-9157
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Provider Business Mailing Address
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Address Line | 2900 CRESTHAVEN DR
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City | MESQUITE
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State | TX
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Zip | 75149-3573
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Country | US
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Telephone | 972-966-9023
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Fax | 972-290-9157
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Authorized Official
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Title or Position | NURSE
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Name | MRS. OYENIKE RISIKAT ABIDOYE
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Credential | LVN
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Telephone | 972-966-9023
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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 | PEENDING
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License Number State | TX
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