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NPI Code Detail

MEDICARE: ALEXIS HUPP

MEDICARE:   ALEXIS  HUPP
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1588390934
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS HUPP
Provider Business Mailing Address
First Line : 646 BRAMBLEWOOD HEIGHTS RD
Second Line :
City : MARIETTA
State : OH
Zip : 45750-8202
Country : US
Telephone Number : 740-336-2121
Fax Number :
Provider Business Practice Location Address
First Line : 646 BRAMBLEWOOD HEIGHTS RD
Second Line :
City : MARIETTA
State : OH
Zip : 45750-8202
Country : US
Telephone Number : 740-336-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 07/28/2022

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Directions to “ ALEXIS HUPP ” Practice Location

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