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NPI Code Detail

MEDICARE: JIAWANER DAI

MEDICARE: JIAWANER DAI
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
1163W00000XRegistered Nurse26NR17503600NJ

General Provider Information

NPI Number : 1053261883
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIAWANER DAI
Provider Business Mailing Address
First Line : 10 CLUBHOUSE LN APT F
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-8261
Country : US
Telephone Number : 732-447-8976
Fax Number :
Provider Business Practice Location Address
First Line : 3188 BELLEVUE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2369
Country : US
Telephone Number : 513-584-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2026
Last Update Date : 02/14/2026

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Directions to “ JIAWANER DAI ” Practice Location

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