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General NPI Number Information
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NPI Number | 1548793664
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Entity Type | Organization
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Legal Business Name | ALI BADDAY MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 1060 E FOOTHILL BLVD SUITE 201
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City | UPLAND
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State | CA
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Zip | 91786-4027
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Country | US
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Telephone | 909-982-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 5 HOLLAND SUITE 101
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City | IRVINE
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State | CA
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Zip | 92618-2566
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Country | US
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Telephone | 949-588-2190
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Fax | 949-588-2199
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI BADDAY
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Credential | M. D.
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Telephone | 909-982-8044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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