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General NPI Number Information
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NPI Number | 1467423285
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Entity Type | Individual
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Provider Name | GERMAINE C MALAGISE CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 605 SHARON RD
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City | BEAVER
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State | PA
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Zip | 15009-1919
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Country | US
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Telephone | 724-774-0778
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Fax | 724-774-1109
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Provider Business Mailing Address
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Address Line | 605 SHARON RD
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City | BEAVER
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State | PA
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Zip | 15009-1919
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Country | US
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Telephone | 724-774-0778
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Fax | 724-774-1109
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TP004353M
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License Number State | PA
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