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General NPI Number Information
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NPI Number | 1336632686
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Entity Type | Individual
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Provider Name | MASHALA MARIE TEMAS MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 202 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1507
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Country | US
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Telephone | 608-417-5695
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Fax | 608-417-5890
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Provider Business Mailing Address
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Address Line | 202 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1507
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Country | US
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Telephone | 608-417-5695
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Fax | 608-417-5890
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 85739-21
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LL52621
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 52621
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 85739-21
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License Number State | WI
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