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NPI Code Detail

MEDICARE: TEQUILLA MCKNIGHT DEES

MEDICARE: TEQUILLA MCKNIGHT DEES
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1700737988
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEQUILLA MCKNIGHT DEES
Provider Business Mailing Address
First Line : 1010 HERBERICH AVE
Second Line :
City : AKRON
State : OH
Zip : 44301-1529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 HERBERICH AVE
Second Line :
City : AKRON
State : OH
Zip : 44301-1529
Country : US
Telephone Number : 330-618-8896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ TEQUILLA MCKNIGHT DEES ” Practice Location

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