MEDICARE: DAPHNE LYNN COUNTS

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
1	163WH0200X	Home Health Registered Nurse	288760	OH

General Provider Information

NPI Number	:	1699970046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAPHNE LYNN COUNTS

Provider Business Mailing Address
First Line	:	3031 KARL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3031 KARL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4127
Country	:	US
Telephone Number	:	614-622-5455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2007
Last Update Date	:	07/09/2007

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Directions to “ DAPHNE LYNN COUNTS ” Practice Location

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