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NPI Code Detail

MEDICARE: JUDY ANN NEWPORT

MEDICARE:   JUDY ANN NEWPORT
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1447865662
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY ANN NEWPORT
Provider Business Mailing Address
First Line : 8120 MAXFIELD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2212
Country : US
Telephone Number : 513-310-4176
Fax Number :
Provider Business Practice Location Address
First Line : 8120 MAXFIELD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2212
Country : US
Telephone Number : 513-310-4176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 09/14/2020

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Directions to “ JUDY ANN NEWPORT ” Practice Location

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