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NPI Code Detail

MEDICARE: CARA PUCCINI RD, LD

MEDICARE: CARA PUCCINI RD, LD
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
1133V00000XRegistered Dietitian264384KY
2133V00000XRegistered DietitianLD.09112OH

General Provider Information

NPI Number : 1518816602
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA PUCCINI RD, LD
Provider Business Mailing Address
First Line : 8708 BLUE ASH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-7806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2213
Country : US
Telephone Number : 513-861-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ CARA PUCCINI RD, LD” Practice Location

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