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General NPI Number Information
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NPI Number | 1356919377
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Entity Type | Individual
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Provider Name | MALALAY AHMADY DO
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 7131 FRANKFORD AVE # 39
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City | PHILADELPHIA
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State | PA
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Zip | 19135-1008
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Country | US
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Telephone | 215-332-4164
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Fax | 215-332-9638
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVE STE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2470
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Country | US
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Telephone | 215-456-1825
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Fax | 215-456-5926
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT021062
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS023942
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License Number State | PA
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