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NPI Code Detail

MEDICARE: MRS. ALICIA MARIE DECHERT LPN

MEDICARE: MRS. ALICIA MARIE DECHERT LPN
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 Nurse136241OH

General Provider Information

NPI Number : 1841526340
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA MARIE DECHERT LPN
Provider Business Mailing Address
First Line : 2809 QUAIL RUN CT
Second Line :
City : LEXINGTON
State : OH
Zip : 44904-1360
Country : US
Telephone Number : 419-512-9912
Fax Number :
Provider Business Practice Location Address
First Line : 2809 QUAIL RUN CT
Second Line :
City : LEXINGTON
State : OH
Zip : 44904-1360
Country : US
Telephone Number : 419-512-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2009
Last Update Date : 10/19/2009

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Directions to “ MRS. ALICIA MARIE DECHERT LPN” Practice Location

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