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NPI Code Detail

MEDICARE: CHANTALE DAWSON

MEDICARE: CHANTALE DAWSON
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1427808849
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTALE DAWSON
Provider Business Mailing Address
First Line : 2722 ERIE AVE STE 219
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2154
Country : US
Telephone Number : 216-217-9257
Fax Number :
Provider Business Practice Location Address
First Line : 2722 ERIE AVE STE 219
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2154
Country : US
Telephone Number : 216-217-9257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 03/26/2024

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Directions to “ CHANTALE DAWSON ” Practice Location

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