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NPI Code Detail

MEDICARE: CARLA SUE DAASCH

MEDICARE: CARLA SUE DAASCH
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
1376G00000XNursing Home Administrator5757-3OH

General Provider Information

NPI Number : 1861907834
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA SUE DAASCH
Provider Business Mailing Address
First Line : 8085 THISTLEWOOD DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-2010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 476 RIDDLE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2411
Country : US
Telephone Number : 513-281-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2017
Last Update Date : 12/12/2017

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Directions to “ CARLA SUE DAASCH ” Practice Location

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