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General NPI Number Information
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NPI Number | 1225350069
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Entity Type | Organization
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Legal Business Name | MALCOLM KE, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/21/2010
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 23456 HAWTHORNE BLVD STE 100
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City | TORRANCE
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State | CA
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Zip | 90505-4752
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Country | US
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Telephone | 310-540-5272
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Fax | 310-540-5271
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Provider Business Mailing Address
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Address Line | 23456 HAWTHORNE BLVD STE 100
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City | TORRANCE
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State | CA
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Zip | 90505-4752
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Country | US
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Telephone | 310-540-5272
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Fax | 310-540-5271
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Authorized Official
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Title or Position | CEO
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Name | MALCOLM KE
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Credential | M.D.
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Telephone | 424-206-1406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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