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NPI Code Detail

MEDICARE: MRS. LAURA JANE DIDUSCH

MEDICARE:  MRS. LAURA JANE DIDUSCH
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
1374U00000XHome Health Aide

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 : 1902953821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA JANE DIDUSCH
Provider Business Mailing Address
First Line : 3504 LOCUST LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2013
Country : US
Telephone Number : 513-451-6109
Fax Number :
Provider Business Practice Location Address
First Line : 3504 LOCUST LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2013
Country : US
Telephone Number : 513-451-6109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LAURA JANE DIDUSCH ” Practice Location

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