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General NPI Number Information
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NPI Number | 1023961240
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Entity Type | Individual
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Provider Name | DORA WADIE MALAK MICHAEL
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 500 MEADOW CREEK DR
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City | WESTMINSTER
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State | MD
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Zip | 21158-4446
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Country | US
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Telephone | 410-848-0513
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Fax |
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Provider Business Mailing Address
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Address Line | 5 S CENTER ST APT 1B
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City | WESTMINSTER
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State | MD
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Zip | 21157-5687
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Country | US
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Telephone | 667-383-5949
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30758
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License Number State | MD
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