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NPI Code Detail

MEDICARE: TINA NOREEN CAMPBELL

MEDICARE:   TINA NOREEN CAMPBELL
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 : 1669074639
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA NOREEN CAMPBELL
Provider Business Mailing Address
First Line : 1909 PROVINCETOWN RD
Second Line :
City : WASHINGTON TOWNSHIP
State : OH
Zip : 45459-3439
Country : US
Telephone Number : 937-951-0052
Fax Number :
Provider Business Practice Location Address
First Line : 1909 PROVINCETOWN RD
Second Line :
City : WASHINGTON TOWNSHIP
State : OH
Zip : 45459-3439
Country : US
Telephone Number : 937-951-0052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2020
Last Update Date : 11/13/2020

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Directions to “ TINA NOREEN CAMPBELL ” Practice Location

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