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NPI Code Detail

MEDICARE: OSHARAE PAUL LPN

MEDICARE:   OSHARAE  PAUL  LPN
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
1164W00000XLicensed Practical Nurse165010OH

General Provider Information

NPI Number : 1255986048
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSHARAE PAUL LPN
Provider Business Mailing Address
First Line : 6017 CLEPHANE AVE # 1
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-2307
Country : US
Telephone Number : 513-578-7931
Fax Number :
Provider Business Practice Location Address
First Line : 6017 CLEPHANE AVE # 1
Second Line :
City : CINCINNATI
State : OH
Zip : 45227
Country : US
Telephone Number : 513-578-7931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 08/08/2019

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Directions to “ OSHARAE PAUL LPN” Practice Location

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