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NPI Code Detail

MEDICARE: MRS. LYNN VITALE

MEDICARE: MRS. LYNN VITALE
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
1235Z00000XSpeech-Language PathologistSP 7628OH

General Provider Information

NPI Number : 1467863670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNN VITALE
Provider Business Mailing Address
First Line : 250 N FAIR AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4222
Country : US
Telephone Number : 513-887-5035
Fax Number :
Provider Business Practice Location Address
First Line : 250 N FAIR AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4222
Country : US
Telephone Number : 513-887-5035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2014
Last Update Date : 05/12/2014

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Directions to “ MRS. LYNN VITALE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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