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NPI Code Detail

MEDICARE: MRS. TARA LYNN DOHNING

MEDICARE: MRS. TARA LYNN DOHNING
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1245912468
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TARA LYNN DOHNING
Provider Business Mailing Address
First Line : 721 N VAN DYKE RD
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9188
Country : US
Telephone Number : 989-269-9229
Fax Number : 989-269-2587
Provider Business Practice Location Address
First Line : 721 N VAN DYKE RD # 7
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9188
Country : US
Telephone Number : 989-269-9229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 08/07/2023

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Directions to “ MRS. TARA LYNN DOHNING ” Practice Location

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