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General NPI Number Information
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NPI Number | 1518965086
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Entity Type | Individual
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Provider Name | ASIM R MALIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 1224 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-5106
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Country | US
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Telephone | 718-788-5588
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Fax | 718-788-1484
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Provider Business Mailing Address
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Address Line | 188 OLD WESTBURY RD
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City | OLD WESTBURY
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State | NY
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Zip | 11568-1100
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Country | US
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Telephone | 718-788-5588
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Fax | 718-788-1484
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 141998
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License Number State | NY
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