MEDICARE: MARY CAPLINGER

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1215538905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY CAPLINGER

Provider Business Mailing Address
First Line	:	2201 BEVERLY ST
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-6814
Country	:	US
Telephone Number	:	304-485-2278
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 BEVERLY ST
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-6814
Country	:	US
Telephone Number	:	304-485-2278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2020
Last Update Date	:	11/08/2020

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Directions to “ MARY CAPLINGER ” Practice Location

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