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NPI Code Detail

MEDICARE: TOMIKA EJUAN SCOTT

MEDICARE:   TOMIKA EJUAN 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
1376J00000XHomemaker

General Provider Information

NPI Number : 1205438223
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMIKA EJUAN SCOTT
Provider Business Mailing Address
First Line : 2108 STONEY CT
Second Line :
City : REYNOLDSBURG
State : OH
Zip : 43068-4213
Country : US
Telephone Number : 614-962-4081
Fax Number :
Provider Business Practice Location Address
First Line : 1322 HAWTHORNE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1697
Country : US
Telephone Number : 614-962-4081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2020
Last Update Date : 11/13/2020

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Directions to “ TOMIKA EJUAN SCOTT ” Practice Location

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