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General NPI Number Information
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NPI Number | 1295421592
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Entity Type | Organization
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Legal Business Name | PROLIFIC HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 5410 N BRAESWOOD BLVD APT 885
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City | HOUSTON
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State | TX
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Zip | 77096-3250
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Country | US
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Telephone | 713-530-7322
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 KATY FWY APT 557
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City | HOUSTON
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State | TX
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Zip | 77043-5139
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Country | US
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Telephone | 713-530-7322
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TASHAUNA MOSELY
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Credential | LPN
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Telephone | 713-530-7322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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