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NPI Code Detail

MEDICARE: FIYINFOLUWA OMIFARE

MEDICARE: FIYINFOLUWA OMIFARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-463488DE

General Provider Information

NPI Number : 1336930791
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIYINFOLUWA OMIFARE
Provider Business Mailing Address
First Line : 260 CHRISTIANA RD APT E13
Second Line :
City : NEW CASTLE
State : DE
Zip : 19720-2967
Country : US
Telephone Number : 443-374-1230
Fax Number :
Provider Business Practice Location Address
First Line : 510 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2100
Country : US
Telephone Number : 302-575-9702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/24/2026

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Directions to “ FIYINFOLUWA OMIFARE ” Practice Location

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