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General NPI Number Information
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NPI Number | 1447223367
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Entity Type | Individual
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Provider Name | GERARD J MALNAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 2 PROGRESS POINT PKWY
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City | O FALLON
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State | MO
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Zip | 63368-2205
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Country | US
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Telephone | 636-916-9531
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Fax |
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Provider Business Mailing Address
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Address Line | 9806 W 125TH TER
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City | OVERLAND PARK
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State | KS
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Zip | 66213-4743
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Country | US
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Telephone | 816-916-5392
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 114571
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License Number State | MO
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