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NPI Code Detail

MEDICARE: PAUL TONGA LANGI BACHELOR'S DEGREE

MEDICARE:   PAUL TONGA LANGI  BACHELOR'S DEGREE
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
1311ZA0620XAdult Care Home FacilityUT
2251C00000XDevelopmentally Disabled Services Day Training AgencyUT
3104100000XSocial WorkerUT

General Provider Information

NPI Number : 1275310468
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL TONGA LANGI BACHELOR'S DEGREE
Provider Business Mailing Address
First Line : 8304 S 5150 W
Second Line :
City : WEST JORDAN
State : UT
Zip : 84081-2707
Country : US
Telephone Number : 801-472-0383
Fax Number :
Provider Business Practice Location Address
First Line : 8304 S 5150 W
Second Line :
City : WEST JORDAN
State : UT
Zip : 84081-2707
Country : US
Telephone Number : 801-472-0383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 03/06/2026

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Directions to “ PAUL TONGA LANGI BACHELOR'S DEGREE” Practice Location

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