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NPI Code Detail

MEDICARE: TRACEE STEEL

MEDICARE:   TRACEE  STEEL
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
1164W00000XLicensed Practical Nurse161144OH

General Provider Information

NPI Number : 1770027682
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACEE STEEL
Provider Business Mailing Address
First Line : 16008 CLOVERSIDE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2112
Country : US
Telephone Number : 216-205-0239
Fax Number :
Provider Business Practice Location Address
First Line : 16008 CLOVERSIDE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2112
Country : US
Telephone Number : 216-205-0239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2016
Last Update Date : 12/12/2016

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Directions to “ TRACEE STEEL ” Practice Location

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