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General NPI Number Information
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NPI Number | 1194018176
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Entity Type | Organization
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Legal Business Name | DANIEL W MALASKO, MD, PA
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 2600 N CORIA ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8459
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Country | US
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Telephone | 956-542-3475
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Fax | 956-546-3112
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Provider Business Mailing Address
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Address Line | 2600 N CORIA ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8459
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Country | US
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Telephone | 956-542-3475
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Fax | 956-546-3112
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL WILLIAM MALASKO
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Credential | M.D.
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Telephone | 956-542-3472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | F6282
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License Number State | TX
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