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NPI Code Detail

MEDICARE: MAUDE PROPER

MEDICARE:   MAUDE  PROPER
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1578159901
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUDE PROPER
Provider Business Mailing Address
First Line : 901 W SUGAR ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2131
Country : US
Telephone Number : 740-358-6358
Fax Number :
Provider Business Practice Location Address
First Line : 901 W SUGAR ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2131
Country : US
Telephone Number : 740-358-6358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2020
Last Update Date : 12/20/2020

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Directions to “ MAUDE PROPER ” 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.