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General NPI Number Information
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NPI Number | 1013132570
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Entity Type | Organization
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Legal Business Name | ROSA MALNATI DPM INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 150 SE 17TH ST UNIT # 502
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City | OCALA
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State | FL
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Zip | 34471-5178
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Country | US
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Telephone | 352-351-5502
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Fax | 352-369-5503
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Provider Business Mailing Address
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Address Line | 550A MIDWAY DR
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City | OCALA
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State | FL
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Zip | 34472-8558
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Country | US
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Telephone | 352-351-5502
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Fax | 352-369-5503
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSA MALNATI
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Credential | DPM
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Telephone | 352-351-5502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO 2746
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License Number State | FL
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