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General NPI Number Information
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NPI Number | 1538049754
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Entity Type | Individual
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Provider Name | NAKILA L CHILDRESS QBHS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4333 MONROE ST STE G
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City | TOLEDO
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State | OH
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Zip | 43606-1937
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Country | US
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Telephone | 419-724-4973
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 SLATER ST
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City | TOLEDO
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State | OH
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Zip | 43612-2808
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Country | US
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Telephone | 419-724-4973
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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 |
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