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General NPI Number Information
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NPI Number | 1346408408
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Entity Type | Organization
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Legal Business Name | DRM MALIK & ASSOCIATES PC
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 62 NEEDHAM ST
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City | NORFOLK
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State | MA
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Zip | 02056-1624
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Country | US
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Telephone | 508-553-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 62 NEEDHAM ST
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City | NORFOLK
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State | MA
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Zip | 02056-1624
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Country | US
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Telephone | 508-553-9703
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KUMKUM PAREEK MALIK
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Credential | PSY.D
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Telephone | 508-553-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7091
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License Number State | MA
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