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General NPI Number Information
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NPI Number | 1144267220
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Entity Type | Organization
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Legal Business Name | DONALD W MALONE MD PC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 1705 N WASHINGTON AVE SUITE C
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City | DURANT
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State | OK
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Zip | 74701-2100
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Country | US
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Telephone | 580-380-1972
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Fax | 580-920-8079
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Provider Business Mailing Address
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Address Line | 1705 N WASHINGTON AVE SUITE C
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City | DURANT
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State | OK
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Zip | 74701-2100
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Country | US
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Telephone | 580-380-1972
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Fax | 580-920-8079
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD WALTER MALONE
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Credential | MD
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Telephone | 580-380-1972
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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 |
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License Number State | OK
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