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General NPI Number Information
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NPI Number | 1104081058
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Entity Type | Individual
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Provider Name | KAREN MALOVRH M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 10520 NORTH PORT WASHINGTON RD
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City | MEQUON
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State | WI
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Zip | 53092-5537
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Country | US
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Telephone | 262-240-0705
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Fax | 262-240-0759
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Provider Business Mailing Address
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Address Line | 100 15TH AVE #180
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-1160
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Country | US
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Telephone | 414-768-5430
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Fax | 414-762-4225
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 29-156
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License Number State | WI
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