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General NPI Number Information
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NPI Number | 1689820862
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Entity Type | Organization
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Legal Business Name | LINCA HOME HEALTH SERVICES,INC
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 615 W MAIN ST SUITE 400
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City | ARLINGTON
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State | TX
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Zip | 76010-1056
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Country | US
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Telephone | 817-220-4000
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Fax | 817-226-4002
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Provider Business Mailing Address
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Address Line | 615 W MAIN ST SUITE 400
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City | ARLINGTON
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State | TX
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Zip | 76010-1056
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Country | US
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Telephone | 817-220-4000
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Fax | 817-226-4002
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Authorized Official
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Title or Position | DON/ADMINISTRATOR
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Name | MRS. CLEMENTINA OKOYE
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Credential | RN
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Telephone | 817-226-4000
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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 | 011867
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License Number State | TX
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