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General NPI Number Information
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NPI Number | 1508914037
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Entity Type | Organization
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Legal Business Name | MALAWEY PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16885 W BERNARDO DR SUITE 380A
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City | SAN DIEGO
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State | CA
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Zip | 92127-1618
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Country | US
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Telephone | 760-715-4789
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Fax | 858-675-2265
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Provider Business Mailing Address
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Address Line | 17010 MATINAL RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-1452
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Country | US
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Telephone | 760-715-4789
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Fax | 858-675-2265
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Authorized Official
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Title or Position | CFO SECRETARY
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Name | MRS. CYNTHIA M MALAWEY
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Credential | PT
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Telephone | 760-715-4789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT20832
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License Number State | CA
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