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General NPI Number Information
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NPI Number | 1265548127
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Entity Type | Individual
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Provider Name | SHERIF MALEK D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 540 JETT DR
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City | JACKSON
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State | KY
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Zip | 41339-9622
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Country | US
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Telephone | 606-666-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5 FOREST HILLS CT
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City | ASHLAND
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State | KY
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Zip | 41101-2233
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Country | US
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Telephone | 706-491-5172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 03410
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 03410
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 03410
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License Number State | KY
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