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General NPI Number Information
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NPI Number | 1376583682
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Entity Type | Individual
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Provider Name | GEORGE DARREN MALONE PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 919 53RD AVE E
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City | BRADENTON
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State | FL
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Zip | 34203-4801
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Country | US
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Telephone | 941-751-8132
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Fax | 941-751-8113
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Provider Business Mailing Address
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Address Line | 12532 HERONS PATH PL
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City | RIVERVIEW
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State | FL
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Zip | 33569-3393
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Country | US
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Telephone | 813-567-1479
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS37809
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License Number State | FL
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