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NPI Code Detail

MEDICARE: ANDREA M PINKNEY

MEDICARE:   ANDREA M PINKNEY
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
1385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number : 1013507920
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA M PINKNEY
Provider Business Mailing Address
First Line : 2137 26TH ST NE
Second Line :
City : CANTON
State : OH
Zip : 44705-2343
Country : US
Telephone Number : 330-313-5447
Fax Number :
Provider Business Practice Location Address
First Line : 2137 26TH ST NE
Second Line :
City : CANTON
State : OH
Zip : 44705-2343
Country : US
Telephone Number : 330-313-5447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 01/25/2021

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Directions to “ ANDREA M PINKNEY ” Practice Location

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