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General NPI Number Information
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NPI Number | 1316757883
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Entity Type | Individual
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Provider Name | MALIK WASHINGTON
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Gender | Male
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 75 RAILROAD ST E
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City | CERRO GORDO
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State | NC
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Zip | 28430
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Country | US
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Telephone | 910-654-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W 6TH AVE APT F
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City | CHADBOURN
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State | NC
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Zip | 28431-1334
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Country | US
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Telephone | 910-207-1305
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1485
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License Number State | NC
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