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General NPI Number Information
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NPI Number | 1194901249
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Entity Type | Organization
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Legal Business Name | MALEK HANANO MD PLLC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 5694 WINDHOVER DR
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City | ORLANDO
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State | FL
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Zip | 32819-7935
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Country | US
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Telephone | 407-363-3449
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Fax | 407-363-3450
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Provider Business Mailing Address
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Address Line | 5694 WINDHOVER DR
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City | ORLANDO
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State | FL
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Zip | 32819-7935
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Country | US
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Telephone | 407-363-3449
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Fax | 407-363-3450
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Authorized Official
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Title or Position | OWNER
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Name | DR. MALEK HANANO
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Credential |
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Telephone | 321-937-5356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME28033
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License Number State | FL
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