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General NPI Number Information
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NPI Number | 1275655912
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Entity Type | Individual
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Provider Name | MATTHEW DAVID MALAMET M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 2575 NORTHWINDS PKWY
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City | ALPHARETTA
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State | GA
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Zip | 30009-2232
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Country | US
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Telephone | 248-224-3986
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Fax |
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Provider Business Mailing Address
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Address Line | 20627 WILDERNESS RUN RD
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City | BOONSBORO
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State | MD
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Zip | 21713-1859
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Country | US
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Telephone | 248-224-3986
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 01094039A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 33725
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 32031
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A121376
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 259123
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301082483
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | D0093554
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License Number State | MD
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