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NPI Code Detail

MEDICARE: DOMONIQUE RENEE' HILL

MEDICARE: DOMONIQUE RENEE' HILL
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 CoordinatorOH

General Provider Information

NPI Number : 1538925417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMONIQUE RENEE' HILL
Provider Business Mailing Address
First Line : 3777 E ANTISDALE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44118-2327
Country : US
Telephone Number : 216-744-3948
Fax Number :
Provider Business Practice Location Address
First Line : 2728 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2429
Country : US
Telephone Number : 216-243-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/27/2024

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Directions to “ DOMONIQUE RENEE' HILL ” Practice Location

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