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NPI Code Detail

MEDICARE: DAMON RAY CAYSE JR.

MEDICARE: DAMON RAY CAYSE JR.
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
1163W00000XRegistered NurseRN.497422OH
2363LA2200XAdult Health Nurse PractitionerAPRN.CNP.0038711OH

General Provider Information

NPI Number : 1982409108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMON RAY CAYSE JR.
Provider Business Mailing Address
First Line : 4850 SMITH RD STE 250
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2733
Country : US
Telephone Number : 513-231-1060
Fax Number :
Provider Business Practice Location Address
First Line : 4850 SMITH RD STE 250
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2733
Country : US
Telephone Number : 513-231-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 03/21/2025

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