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General NPI Number Information
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NPI Number | 1023347366
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Entity Type | Organization
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Legal Business Name | MALCOLM H. KING, PSC
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 2301 LEXINGTON AVE SUITE 205
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City | ASHLAND
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State | KY
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Zip | 41101-2873
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Country | US
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Telephone | 606-325-9633
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Fax | 606-325-9634
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Provider Business Mailing Address
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Address Line | 2301 LEXINGTON AVE SUITE 205
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City | ASHLAND
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State | KY
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Zip | 41101-2833
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Country | US
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Telephone | 606-325-9633
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Fax | 606-325-9634
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MALCOLM H. KING
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Credential | M.D.
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Telephone | 606-325-9633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 12569
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License Number State | KY
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