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General NPI Number Information
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NPI Number | 1487569455
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Entity Type | Individual
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Provider Name | MRS. GRACE A. MALATE
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Gender | Female
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 1396 PICCARD DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-4302
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Country | US
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Telephone | 240-751-3214
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Fax |
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Provider Business Mailing Address
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Address Line | 21888 WOODCOCK WAY
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City | CLARKSBURG
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State | MD
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Zip | 20871-9528
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Country | US
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Telephone | 240-722-9931
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R176412
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License Number State | MD
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