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NPI Code Detail

MEDICARE: MS. TRACI M CROWELL

MEDICARE:  MS. TRACI M CROWELL
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

General Provider Information

NPI Number : 1588485932
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACI M CROWELL
Provider Business Mailing Address
First Line : 3323 SHILOH SPRINGS RD APT A
Second Line :
City : DAYTON
State : OH
Zip : 45426-2280
Country : US
Telephone Number : 937-602-4582
Fax Number :
Provider Business Practice Location Address
First Line : 3323 SHILOH SPRINGS RD APT A
Second Line :
City : DAYTON
State : OH
Zip : 45426-2280
Country : US
Telephone Number : 937-602-4582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2024
Last Update Date : 10/18/2024

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Directions to “ MS. TRACI M CROWELL ” Practice Location

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