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NPI Code Detail

MEDICARE: MRS. PATRICIA LYNN POWELL

MEDICARE: MRS. PATRICIA LYNN POWELL
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
2101YA0400XAddiction (Substance Use Disorder) Counselor172497OH

General Provider Information

NPI Number : 1437678620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA LYNN POWELL
Provider Business Mailing Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number : 740-297-4417
Fax Number :
Provider Business Practice Location Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number : 740-297-4417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 11/02/2023

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