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NPI Code Detail

MEDICARE: TEQUIE CLINKSCALE

MEDICARE: TEQUIE CLINKSCALE
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
1106S00000XBehavior TechnicianOH

General Provider Information

NPI Number : 1972238392
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEQUIE CLINKSCALE
Provider Business Mailing Address
First Line : 7423 TIFFANY BLVD S
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-3908
Country : US
Telephone Number : 330-692-2955
Fax Number :
Provider Business Practice Location Address
First Line : 7423 TIFFANY BLVD S
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-3908
Country : US
Telephone Number : 330-629-2955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 05/14/2025

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Directions to “ TEQUIE CLINKSCALE ” Practice Location

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