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NPI Code Detail

MEDICARE: NICOLE DILLE

MEDICARE: NICOLE DILLE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1184400590
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE DILLE
Provider Business Mailing Address
First Line : 303 3RD AVE
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-1144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 3RD AVE
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-1144
Country : US
Telephone Number : 740-249-4514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 09/01/2023

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Directions to “ NICOLE DILLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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