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NPI Code Detail

MEDICARE: FATEMEH REZAEIZADEHHAGHIGHI

MEDICARE: FATEMEH REZAEIZADEHHAGHIGHI
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 Coordinator
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1699428250
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATEMEH REZAEIZADEHHAGHIGHI
Provider Business Mailing Address
First Line : 600 WAYNE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45410-1122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 WAYNE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45410-1122
Country : US
Telephone Number : 937-496-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2022
Last Update Date : 02/18/2026

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Directions to “ FATEMEH REZAEIZADEHHAGHIGHI ” 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.

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