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General NPI Number Information
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NPI Number | 1245720994
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Entity Type | Organization
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Legal Business Name | PADEK HEALTHCARE INC.
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 5814 BALTIMORE AVE
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City | HYATTSVILLE
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State | MD
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Zip | 20781-1623
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Country | US
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Telephone | 301-277-7107
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Fax | 301-277-7127
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Provider Business Mailing Address
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Address Line | 5814 BALTIMORE AVE
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City | HYATTSVILLE
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State | MD
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Zip | 20781-1623
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Country | US
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Telephone | 240-731-3766
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Fax | 301-277-7127
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRINCE ADEKOYA
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Credential |
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Telephone | 240-731-3766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07870
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License Number State | MD
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