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General NPI Number Information
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NPI Number | 1326920760
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Entity Type | Individual
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Provider Name | MALCOLM DASH
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Gender | Male
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1 N FAIRVIEW ST
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City | LOCK HAVEN
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State | PA
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Zip | 17745-2460
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Country | US
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Telephone | 800-332-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 9210 MARDELLA RIDGE RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3333
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Country | US
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Telephone | 443-547-9628
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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 | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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