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General NPI Number Information
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NPI Number | 1376480988
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Entity Type | Individual
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Provider Name | PATRICK MALONEY
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Gender | Male
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2315 MYRTLE ST
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City | ERIE
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State | PA
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Zip | 16502-4602
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Country | US
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Telephone | 814-454-2401
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 MYRTLE ST
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City | ERIE
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State | PA
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Zip | 16502-4602
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT005992
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License Number State | PA
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