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NPI Code Detail

MEDICARE: TRACI TREMON SCOTT

MEDICARE: TRACI TREMON SCOTT
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 CoordinatorOH

General Provider Information

NPI Number : 1134614753
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI TREMON SCOTT
Provider Business Mailing Address
First Line : 3135 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3407
Country : US
Telephone Number : 216-631-4741
Fax Number : 216-631-8520
Provider Business Practice Location Address
First Line : 3135 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3407
Country : US
Telephone Number : 216-631-4741
Fax Number : 216-631-8520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 07/21/2022

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Directions to “ TRACI TREMON SCOTT ” Practice Location

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