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General NPI Number Information
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NPI Number | 1134361900
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Entity Type | Organization
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Legal Business Name | LORI K. MALINBAUM DDS INC.
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 23441 MADISON STREET BLDG #8 SUITE #205
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City | TORRANCE
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State | CA
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Zip | 90505
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Country | US
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Telephone | 310-480-8286
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Fax | 310-792-8995
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Provider Business Mailing Address
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Address Line | 23441 MADISON STREET BLDG #8 SUITE #205
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City | TORRANCE
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State | CA
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Zip | 90505
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Country | US
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Telephone | 310-480-8286
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Fax | 310-792-8995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORI KAY MALINBAUM
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Credential |
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Telephone | 310-480-8286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 43637
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License Number State | CA
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