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NPI Code Detail

MEDICARE: PORTIA HENDRIX

MEDICARE:   PORTIA  HENDRIX
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 Coordinator

General Provider Information

NPI Number : 1073299830
Entity Type Code : Individual
Provider Name (Legal Business Name) : PORTIA HENDRIX
Provider Business Mailing Address
First Line : 1001 INDIANA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4084
Country : US
Telephone Number : 614-329-6796
Fax Number :
Provider Business Practice Location Address
First Line : 1001 INDIANA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4084
Country : US
Telephone Number : 419-936-4241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2023
Last Update Date : 06/26/2023

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Directions to “ PORTIA HENDRIX ” Practice Location

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