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Individual
MELISA C BODKIN
Active
Individual
MELISA C BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-06953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549037
ANTHEM BCBS
OH
05
—
2375728
—
OH
Enumeration date
01/10/2006
Last updated
07/13/2012
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