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NPI Code Detail

MEDICARE: MACIE RINE

MEDICARE:   MACIE  RINE
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1700201183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACIE RINE
Provider Business Mailing Address
First Line : 300 W WALNUT ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2141
Country : US
Telephone Number : 740-398-0347
Fax Number : 740-392-0577
Provider Business Practice Location Address
First Line : 300 W WALNUT ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2141
Country : US
Telephone Number : 740-398-0347
Fax Number : 740-392-0577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2014
Last Update Date : 02/21/2014

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Directions to “ MACIE RINE ” Practice Location

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