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NPI Code Detail

MEDICARE: EBONY NICHOLE DUNLAP

MEDICARE:   EBONY NICHOLE DUNLAP
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1124916564
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY NICHOLE DUNLAP
Provider Business Mailing Address
First Line : 15304 SHIRLEY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-4603
Country : US
Telephone Number : 216-352-8340
Fax Number :
Provider Business Practice Location Address
First Line : 15304 SHIRLEY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-4603
Country : US
Telephone Number : 216-352-8340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2025
Last Update Date : 06/25/2025

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Directions to “ EBONY NICHOLE DUNLAP ” Practice Location

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