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General NPI Number Information
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NPI Number | 1508209800
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Entity Type | Individual
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Provider Name | ROBERT ANTHONY MALIZIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2035 TECHNOLOGY PKWY STE 201
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9422
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Country | US
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Telephone | 717-231-4567
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Fax | 717-231-8152
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Provider Business Mailing Address
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Address Line | 2035 TECHNOLOGY PKWY STE 201
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9422
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Country | US
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Telephone | 717-232-4567
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Fax | 717-231-8152
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD483865
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | A173275
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MD483865
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License Number State | PA
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