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General NPI Number Information
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NPI Number | 1992020242
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Entity Type | Organization
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Legal Business Name | HEALTHLINCKX INC
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 4205 WAKE FOREST RD SUITE 206
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City | RALEIGH
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State | NC
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Zip | 27609-6246
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Country | US
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Telephone | 919-200-6133
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Fax | 919-341-4944
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Provider Business Mailing Address
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Address Line | 4205 WAKE FOREST RD SUITE 206
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City | RALEIGH
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State | NC
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Zip | 27609-6246
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Country | US
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Telephone | 919-200-6133
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Fax | 919-341-4944
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Authorized Official
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Title or Position | CEO
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Name | VIVIAN UJU OKORO
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Credential |
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Telephone | 919-200-6133
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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 | 100306
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License Number State | NC
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