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General NPI Number Information
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NPI Number | 1215758024
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Entity Type | Organization
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Legal Business Name | MARK MALONE MD PA
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 207 W AVENUE E STE 1000
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City | LAMPASAS
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State | TX
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Zip | 76550-1820
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Country | US
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Telephone | 254-741-6641
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W LOUIS HENNA BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78728-1203
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Country | US
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Telephone | 512-244-4272
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | CHRISTINA ROBIN SONS
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Credential |
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Telephone | 512-244-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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