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NPI Code Detail

MEDICARE: MR. MELODY BADALI RN

MEDICARE: MR. MELODY BADALI RN
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
1163WC1500XCommunity Health Registered Nurse1951223102UT

General Provider Information

NPI Number : 1386652477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MELODY BADALI RN
Provider Business Mailing Address
First Line : 50 E STATE ST
Second Line : PO BOX 618
City : FARMINGTON
State : UT
Zip : 84025-2343
Country : US
Telephone Number : 801-451-3315
Fax Number : 801-451-3369
Provider Business Practice Location Address
First Line : 50 E STATE ST
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2343
Country : US
Telephone Number : 801-451-3315
Fax Number : 801-451-3369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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