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NPI Code Detail

MEDICARE: SIMONE DELORES SHAW

MEDICARE: SIMONE DELORES SHAW
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1265375752
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE DELORES SHAW
Provider Business Mailing Address
First Line : 2418 WHITEWOOD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-6825
Country : US
Telephone Number : 513-302-9234
Fax Number :
Provider Business Practice Location Address
First Line : 2418 WHITEWOOD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-6825
Country : US
Telephone Number : 513-302-9234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ SIMONE DELORES SHAW ” Practice Location

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