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NPI Code Detail

MEDICARE: SYVIA E WASHINGTON BS

MEDICARE: SYVIA E WASHINGTON BS
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 Worker

General Provider Information

NPI Number : 1437277191
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYVIA E WASHINGTON BS
Provider Business Mailing Address
First Line : PO BOX 428
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34656-0428
Country : US
Telephone Number : 727-841-4200
Fax Number : 727-841-4365
Provider Business Practice Location Address
First Line : 7074 GROVE RD
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34609-8658
Country : US
Telephone Number : 352-540-9335
Fax Number : 352-544-0722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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