Dorlan Duan Fedrick, APS003949

Peer Specialist · Coventry Township, OH

Individual Active NPI

NPI number 1346929353

Practice location

3445 S Main St
Coventry Township, OH 44319-3028
Phone
(330) 203-9341

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NPI record

NPI
1346929353
Entity type
Individual (Type 1)
Enumeration date
July 17, 2023
Last updated
July 17, 2023
Certified
July 17, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 003949 OH

About Dorlan Fedrick

Dorlan Duan Fedrick, APS003949 is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 3445 S Main St, Coventry Township, OH 44319-3028. The NPI number 1346929353 was assigned on July 17, 2023 and the record was last updated on July 17, 2023.

Dorlan Fedrick lists a license in the registry: #003949 (OH) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dorlan Duan Fedrick, APS003949?

The NPI number is 1346929353.

What is the phone number of Dorlan Fedrick?

The phone number listed for the practice location is (330) 203-9341.

Where is Dorlan Fedrick located?

3445 S Main St, Coventry Township, OH 44319-3028.

What is the taxonomy code for Dorlan Fedrick?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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