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General NPI Number Information
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NPI Number | 1407205297
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Entity Type | Organization
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Legal Business Name | PROLIFIC CARE HEALTH ENTERPRISES LLC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 295 MADISON AVE STE 12FL
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City | NEW YORK
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State | NY
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Zip | 10017-6434
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Country | US
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Telephone | 212-960-8528
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Fax | 212-937-2115
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Provider Business Mailing Address
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Address Line | 295 MADISON AVE STE 12FL
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City | NEW YORK
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State | NY
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Zip | 10017-6434
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Country | US
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Telephone | 212-960-8528
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Fax | 212-937-2115
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE HALL
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Credential |
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Telephone | 212-960-5828
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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 |
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License Number State |
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