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General NPI Number Information
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NPI Number | 1023467693
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Entity Type | Individual
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Provider Name | MACKENZIE LEIGH WILSON MALEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2006 BROOKWOOD MEDICAL CTR DR STE 402
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City | HOMEWOOD
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State | AL
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Zip | 35209-6823
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Country | US
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Telephone | 205-397-9000
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Fax | 205-397-9001
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | BP10057637
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | S6237
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License Number State | TX
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