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NPI Code Detail

MEDICARE: MACKENZIE ADAMS

MEDICARE: MACKENZIE ADAMS
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 Coordinator

General Provider Information

NPI Number : 1215895065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE ADAMS
Provider Business Mailing Address
First Line : 4861 DUCK CREEK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1421
Country : US
Telephone Number : 513-832-2884
Fax Number :
Provider Business Practice Location Address
First Line : 4861 DUCK CREEK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1421
Country : US
Telephone Number : 513-832-2884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ MACKENZIE ADAMS ” 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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