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General NPI Number Information
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NPI Number | 1356256044
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Entity Type | Individual
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Provider Name | CARRIE ANNE MALINAK
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 1326 SHERRICK RD SE
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City | CANTON
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State | OH
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Zip | 44707-3531
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Country | US
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Telephone | 330-453-2782
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Fax |
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Provider Business Mailing Address
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Address Line | 4831 ALABAMA AVE NW
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City | NORTH LAWRENCE
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State | OH
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Zip | 44666-9765
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Country | US
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Telephone | 330-265-6049
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN.396746
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License Number State | OH
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