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NPI Code Detail

MEDICARE: PARIS D COOPER QBHS

MEDICARE: PARIS D COOPER QBHS
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 : 1326732025
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARIS D COOPER QBHS
Provider Business Mailing Address
First Line : 500 MADISON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1222
Country : US
Telephone Number : 567-312-8700
Fax Number : 567-312-8793
Provider Business Practice Location Address
First Line : 1585 COMPTON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-3427
Country : US
Telephone Number : 513-541-1699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 06/06/2023

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Directions to “ PARIS D COOPER QBHS” Practice Location

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