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NPI Code Detail

MEDICARE: MR. MATTHEW DAYBELL

MEDICARE: MR. MATTHEW DAYBELL
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
1225X00000XOccupational TherapistOT-685ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982770277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW DAYBELL
Provider Business Mailing Address
First Line : 325 HANSON ST
Second Line :
City : WINNEMUCCA
State : NV
Zip : 89445-3607
Country : US
Telephone Number : 775-625-2222
Fax Number :
Provider Business Practice Location Address
First Line : 393 E 2ND N
Second Line :
City : REXBURG
State : ID
Zip : 83440-1605
Country : US
Telephone Number : 208-359-9570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 03/21/2008

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