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NPI Code Detail

MEDICARE: KARENA NEACE

MEDICARE: KARENA NEACE
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1912479858
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARENA NEACE
Provider Business Mailing Address
First Line : PO BOX 3095
Second Line :
City : DUBLIN
State : OH
Zip : 43016-0046
Country : US
Telephone Number : 740-479-5120
Fax Number :
Provider Business Practice Location Address
First Line : 419 VERNON ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1637
Country : US
Telephone Number : 740-479-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 11/25/2022

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Directions to “ KARENA NEACE ” Practice Location

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