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Individual
TIARA CHAVIS
Active
Individual
TIARA CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
176285
OH
376K00000X
Nurse's Aide
401316781111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435538
—
OH
Enumeration date
01/24/2013
Last updated
01/12/2024
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