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General NPI Number Information
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NPI Number | 1093156382
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Entity Type | Individual
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Provider Name | ADEN MALIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | STONY BROOK UNIVERSITY HSC T-18 DEPT OF ORTHOPEDICS
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City | STONY BROOK
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State | NY
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Zip | 11794-2307
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Country | US
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Telephone | 631-444-1487
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 23RD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3504
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Country | US
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Telephone | 628-206-8812
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A132068
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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