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General NPI Number Information
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NPI Number | 1659237436
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Entity Type | Organization
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Legal Business Name | PROLIFIC HOMECARE LLC
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 5 NESHAMINY INTERPLEX DR STE 205
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City | TREVOSE
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State | PA
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Zip | 19053-6932
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Country | US
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Telephone | 267-528-6140
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Fax |
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Provider Business Mailing Address
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Address Line | 5 INTERPLEX DR STE 205
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City | TREVOSE
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State | PA
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Zip | 19053-6932
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Country | US
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Telephone | 267-528-6140
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. KIKELOMO A OYINLOLA
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Credential | RN, BSN
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Telephone | 908-906-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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