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NPI Code Detail

MEDICARE: AMIE MICHELLE QUIMBY

MEDICARE: AMIE MICHELLE QUIMBY
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.186310OH

General Provider Information

NPI Number : 1538932512
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIE MICHELLE QUIMBY
Provider Business Mailing Address
First Line : 3432 FERNSIDE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1402
Country : US
Telephone Number : 513-748-3445
Fax Number :
Provider Business Practice Location Address
First Line : 7058 CORPORATE WAY STE 3
Second Line :
City : DAYTON
State : OH
Zip : 45459-4243
Country : US
Telephone Number : 937-991-0080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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Directions to “ AMIE MICHELLE QUIMBY ” Practice Location

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