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NPI Code Detail

MEDICARE: MARIO HARRIS

MEDICARE:   MARIO  HARRIS
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
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518670504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO HARRIS
Provider Business Mailing Address
First Line : PO BOX 30466
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-0466
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1266 GROVE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-6282
Country : US
Telephone Number : 614-928-1602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 01/04/2023

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Directions to “ MARIO HARRIS ” Practice Location

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