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NPI Code Detail

MEDICARE: SASHA M PURVIS

MEDICARE: SASHA M PURVIS
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
1104100000XSocial WorkerS.2512948OH
2104100000XSocial Worker259356KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245858042
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA M PURVIS
Provider Business Mailing Address
First Line : 1435 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8005
Country : US
Telephone Number : 513-233-7847
Fax Number :
Provider Business Practice Location Address
First Line : 1435 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8005
Country : US
Telephone Number : 513-233-7847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 10/02/2025

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Directions to “ SASHA M PURVIS ” Practice Location

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