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General NPI Number Information
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NPI Number | 1457940629
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Entity Type | Individual
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Provider Name | TIARA L BROWN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 10400 BLACKLICK EASTERN RD
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City | PICKERINGTON
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State | OH
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Zip | 43147-8235
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Country | US
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Telephone | 513-503-5487
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Fax |
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Provider Business Mailing Address
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Address Line | 8316 JACKIES DR
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City | CINCINNATI
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State | OH
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Zip | 45239-4232
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Country | US
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Telephone | 513-503-5487
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | OH
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