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NPI Code Detail

MEDICARE: ANGELIQUE SHOATES

MEDICARE: ANGELIQUE SHOATES
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1285439406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIQUE SHOATES
Provider Business Mailing Address
First Line : 2600 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2872
Country : US
Telephone Number : 513-813-0483
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2872
Country : US
Telephone Number : 513-813-0483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 02/13/2025

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Directions to “ ANGELIQUE SHOATES ” 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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