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NPI Code Detail

MEDICARE: JOCELYN MARIE DAHLIN

MEDICARE: JOCELYN MARIE DAHLIN
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1154032019
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN MARIE DAHLIN
Provider Business Mailing Address
First Line : 2604 WAYNE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-1834
Country : US
Telephone Number : 209-204-2925
Fax Number :
Provider Business Practice Location Address
First Line : 2604 WAYNE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-1834
Country : US
Telephone Number : 209-204-2925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 12/12/2022

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Directions to “ JOCELYN MARIE DAHLIN ” Practice Location

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