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NPI Code Detail

MEDICARE: YAZMINE PHELICE HARRIS

MEDICARE:   YAZMINE PHELICE HARRIS
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
1347C00000XPrivate Vehicle
2374U00000XHome Health Aide
3343900000XNon-emergency Medical Transport (VAN)
4376J00000XHomemaker

General Provider Information

NPI Number : 1679156772
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAZMINE PHELICE HARRIS
Provider Business Mailing Address
First Line : 4507 WILLIAMSBURG RD N
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5142
Country : US
Telephone Number : 513-418-1349
Fax Number :
Provider Business Practice Location Address
First Line : 4507 WILLIAMSBURG RD N
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5142
Country : US
Telephone Number : 513-418-1349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2021
Last Update Date : 05/05/2021

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Directions to “ YAZMINE PHELICE HARRIS ” 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.