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General NPI Number Information
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NPI Number | 1548595010
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Entity Type | Individual
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Provider Name | KARA MICHELLE MALAGISE PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 969 GREENTREE RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15220-3328
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Country | US
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Telephone | 412-922-5250
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Fax | 412-920-8162
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Provider Business Mailing Address
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Address Line | 277 DRAVO AVE APT 1
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City | BEAVER
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State | PA
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Zip | 15009-2639
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Country | US
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Telephone | 304-723-4000
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA054124
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License Number State | PA
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