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General NPI Number Information
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NPI Number | 1336845429
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Entity Type | Individual
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Provider Name | MADELINE G. MALONE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 4502 MEDICAL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4402
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Country | US
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Telephone | 210-358-4000
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Fax | 210-949-3006
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Provider Business Mailing Address
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Address Line | 4502 MEDICAL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4402
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Country | US
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Telephone | 210-358-4000
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Fax | 210-949-3006
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16435
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License Number State | TX
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