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General NPI Number Information
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NPI Number | 1114985520
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Entity Type | Individual
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Provider Name | JAVAID A MALIK MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1711 27TH ST STE 102
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2657
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Country | US
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Telephone | 740-356-1709
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Fax | 740-356-3027
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Provider Business Mailing Address
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Address Line | 1735 27TH ST STE B06
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2681
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Country | US
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Telephone | 740-356-8681
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Fax | 403-537-9007
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.120658
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 271685
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 271685
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD423112
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 35.120658
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License Number State | OH
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