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NPI Code Detail

MEDICARE: MS. NATASHA DOMINIQUE HUTCHERSON

MEDICARE:  MS. NATASHA DOMINIQUE HUTCHERSON
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

General Provider Information

NPI Number : 1912575044
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATASHA DOMINIQUE HUTCHERSON
Provider Business Mailing Address
First Line : 5269 E 126TH ST APT 202
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-3062
Country : US
Telephone Number : 614-214-1511
Fax Number :
Provider Business Practice Location Address
First Line : 18111 INVERMERE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-1629
Country : US
Telephone Number : 614-214-1511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 06/15/2021

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Directions to “ MS. NATASHA DOMINIQUE HUTCHERSON ” Practice Location

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