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NPI Code Detail

MEDICARE: TASHA ROSENDARY

MEDICARE:   TASHA  ROSENDARY
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
1171WH0202XHome Modifications Contractor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710388285
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA ROSENDARY
Provider Business Mailing Address
First Line : 5333 TANNER AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2529
Country : US
Telephone Number : 814-844-4298
Fax Number :
Provider Business Practice Location Address
First Line : 5333 TANNER AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2529
Country : US
Telephone Number : 814-844-4298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2014
Last Update Date : 09/15/2014

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Directions to “ TASHA ROSENDARY ” Practice Location

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