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General NPI Number Information
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NPI Number | 1437154853
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Entity Type | Individual
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Provider Name | MATTHEW MALERICH
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 400 OLD RIVER RD
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9781
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Country | US
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Telephone | 661-663-6550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1710
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1710
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Country | US
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Telephone | 661-324-0300
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Fax | 661-324-4095
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | G28553
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License Number State | CA
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