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NPI Code Detail

MEDICARE: MRS. MIRANDA CAWLFIELD

MEDICARE: MRS. MIRANDA CAWLFIELD
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 : 1922644509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MIRANDA CAWLFIELD
Provider Business Mailing Address
First Line : 1636 S CATALINA AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-2004
Country : US
Telephone Number : 417-209-3331
Fax Number :
Provider Business Practice Location Address
First Line : 3224 S KINGS AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5084
Country : US
Telephone Number : 417-209-3331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2019
Last Update Date : 11/19/2019

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Directions to “ MRS. MIRANDA CAWLFIELD ” Practice Location

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