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General NPI Number Information
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NPI Number | 1861690919
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Entity Type | Organization
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Legal Business Name | RICH-NIK HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 4001 W GREEN OAKS BLVD SUITE 205
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City | ARLINGTON
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State | TX
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Zip | 76016-4457
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Country | US
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Telephone | 817-483-7500
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Fax | 817-483-7505
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Provider Business Mailing Address
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Address Line | 4001 W GREEN OAKS BLVD SUITE 205
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City | ARLINGTON
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State | TX
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Zip | 76016-4457
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Country | US
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Telephone | 817-483-7500
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Fax | 817-483-7505
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Authorized Official
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Title or Position | OFFICE MNGR/CHIEF FINANCIAL OFFICER
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Name | MR. RICHARD A AJENIKOKO
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Credential | MBA
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Telephone | 682-552-3325
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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 | 011469
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License Number State | TX
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