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Shana Lynette Mundy
Preferred Provider Organization in Springfield, Ohio
NPI 1023605862

Shana Lynette Mundy is a Preferred Provider Organization based in Springfield, OH. Shana Lynette Mundy practices in Springfield, OH. The NPI Number for Shana Lynette Mundy is 1023605862 and holds a License No. (Ohio).

The current practice location address for Shana Lynette Mundy is 345 Larchmont Ave, Springfield, OH and can be reached out via phone at 937-631-5017.

Location: 345 Larchmont Ave, Springfield, OH, 45503-5423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023605862
Provider Name
Shana Lynette Mundy
Credential
Provider Entity Type
Individual
Gender
Female
Address
345 Larchmont Ave, Springfield, OH, 45503-5423
Phone Number
937-631-5017
Fax Number
Provider Enumeration Date
12/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1203629 05 OH
institution
Provider Business Practice Location Address Details
Address
345 Larchmont Ave
City
Springfield
State
Ohio
Zip
45503-5423
Phone Number
937-631-5017
Fax Number
person
Provider Business Mailing Address Details
Address
345 Larchmont Ave
City
Springfield
State
Ohio
Zip
45503-5423
Phone Number
937-631-5017
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
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Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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