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NPI Code Detail

MEDICARE: ALEXANDRIA C AMPIAW

MEDICARE: ALEXANDRIA C AMPIAW
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

General Provider Information

NPI Number : 1952185290
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA C AMPIAW
Provider Business Mailing Address
First Line : 3737 WHITEGATE DR
Second Line :
City : TOLEDO
State : OH
Zip : 43607-2569
Country : US
Telephone Number : 567-358-2501
Fax Number :
Provider Business Practice Location Address
First Line : 2602 NEBRASKA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-3241
Country : US
Telephone Number : 567-358-2501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2023
Last Update Date : 08/18/2023

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Directions to “ ALEXANDRIA C AMPIAW ” Practice Location

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