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General NPI Number Information
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NPI Number | 1518089150
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Entity Type | Organization
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Legal Business Name | RAPHACARE SERVICES, INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 9319 LYNDON B JOHNSON FWY STE 115
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City | DALLAS
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State | TX
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Zip | 75243-3440
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Country | US
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Telephone | 214-575-4446
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Fax | 214-575-4771
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Provider Business Mailing Address
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Address Line | 9319 LYNDON B JOHNSON FWY STE 115
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City | DALLAS
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State | TX
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Zip | 75243-3440
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Country | US
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Telephone | 214-575-4446
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Fax | 214-575-4771
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AJIBIKE OLUKUNLE AKINKOYE
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Credential | PHD.
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Telephone | 214-575-4446
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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 | 45-3109
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License Number State | TX
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