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NPI Code Detail

MEDICARE: BETH DYE

MEDICARE: BETH DYE
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 WorkerS.0008225OH

General Provider Information

NPI Number : 1528561594
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH DYE
Provider Business Mailing Address
First Line : PO BOX 150
Second Line :
City : VAN WERT
State : OH
Zip : 45891-0150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1229 LINCOLN HWY
Second Line :
City : VAN WERT
State : OH
Zip : 45891-1877
Country : US
Telephone Number : 419-238-1695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 03/15/2018

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Directions to “ BETH DYE ” Practice Location

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