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NPI Code Detail

MEDICARE: TARA JENNINGS

MEDICARE: TARA JENNINGS
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
1235Z00000XSpeech-Language PathologistSP 6031OH

General Provider Information

NPI Number : 1033517511
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA JENNINGS
Provider Business Mailing Address
First Line : 2411 BALTIMORE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-1001
Country : US
Telephone Number : 513-363-4037
Fax Number : 513-363-4020
Provider Business Practice Location Address
First Line : 2411 BALTIMORE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-1001
Country : US
Telephone Number : 513-363-4037
Fax Number : 513-363-4020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2014
Last Update Date : 12/15/2014

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Directions to “ TARA JENNINGS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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