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General NPI Number Information
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NPI Number | 1073798955
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Entity Type | Organization
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Legal Business Name | SAMIR F. MALEK,M.D.,P.C.
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 416 72TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-2702
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Country | US
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Telephone | 718-680-7600
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Fax | 718-748-4515
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Provider Business Mailing Address
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Address Line | 416 75TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-2702
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Country | US
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Telephone | 718-680-7600
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Fax | 718-748-4515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMIR MALEK
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Credential | M.D.
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Telephone | 718-680-7600
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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 |
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License Number State |
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