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NPI Code Detail

MEDICARE: TA POWE CORPORATION

MEDICARE: TA POWE CORPORATION
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1831863364
Entity Type Code : Organization
Provider Name (Legal Business Name) : TA POWE CORPORATION
Provider Business Mailing Address
First Line : 10118 FOREST LANDING DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-4058
Country : US
Telephone Number : 704-657-4664
Fax Number :
Provider Business Practice Location Address
First Line : 10118 FOREST LANDING DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-4058
Country : US
Telephone Number : 704-657-4664
Fax Number :
Authorized Official
Title or Position : MEDICAL CASE MANAGER
Name : ANIKA K POWE
Credential :
Telephone Number : 704-657-4664
Provider Enumeration Date : 08/07/2021
Last Update Date : 08/07/2021

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Directions to “TA POWE CORPORATION ” Practice Location

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