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NPI Code Detail

MEDICARE: TAMELA PEEL

MEDICARE: TAMELA PEEL
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
1253Z00000XIn Home Supportive Care Agency3119128OH

General Provider Information

NPI Number : 1740732742
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMELA PEEL
Provider Business Mailing Address
First Line : 5558 CHEVIOT RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7094
Country : US
Telephone Number : 513-389-0213
Fax Number : 513-389-0634
Provider Business Practice Location Address
First Line : 5558 CHEVIOT RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7094
Country : US
Telephone Number : 513-389-0213
Fax Number : 513-389-0634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2016
Last Update Date : 10/26/2016

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Directions to “ TAMELA PEEL ” Practice Location

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