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NPI Code Detail

MEDICARE: REBEKAH MAZANOWSKI

MEDICARE: REBEKAH MAZANOWSKI
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
1171M00000XCase Manager/Care CoordinatorIN

General Provider Information

NPI Number : 1033077664
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH MAZANOWSKI
Provider Business Mailing Address
First Line : 3000 KENT AVE
Second Line :
City : WEST LAFAYETTE
State : IN
Zip : 47906-1184
Country : US
Telephone Number : 866-672-4764
Fax Number :
Provider Business Practice Location Address
First Line : 3000 KENT AVE
Second Line :
City : WEST LAFAYETTE
State : IN
Zip : 47906-1184
Country : US
Telephone Number : 866-672-4764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ REBEKAH MAZANOWSKI ” Practice Location

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