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General NPI Number Information
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NPI Number | 1467957159
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Entity Type | Individual
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Provider Name | ANNA ELIZABETH MALCOLM DO
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 421 S 28TH AVE STE 200
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City | HATTIESBURG
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State | MS
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Zip | 39401-7208
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Country | US
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Telephone | 601-268-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 CENTERVILLE RD STE 4200
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4622
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Country | US
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Telephone | 850-848-4628
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Fax | 850-702-9727
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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 | 18758
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35142
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License Number State | MS
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