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NPI Code Detail

MEDICARE: TAKIA MITCHELL

MEDICARE: TAKIA MITCHELL
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1184477861
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAKIA MITCHELL
Provider Business Mailing Address
First Line : 3113 PARKWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1616
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3113 PARKWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1616
Country : US
Telephone Number : 419-442-7982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 04/10/2024

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Directions to “ TAKIA MITCHELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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