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NPI Code Detail

MEDICARE: ARIYAH DARAE LONG

MEDICARE: ARIYAH DARAE LONG
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1134071848
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIYAH DARAE LONG
Provider Business Mailing Address
First Line : 3225 EDEN AVENUE
Second Line :
City : CINCINNATI
State : OH
Zip : 45267-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3225 EDEN AVENUE
Second Line :
City : CINCINNATI
State : OH
Zip : 45267-0001
Country : US
Telephone Number : 513-558-7495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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