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General NPI Number Information
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NPI Number | 1558333492
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Entity Type | Individual
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Provider Name | CHARLES J. MALLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2006
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 988 OAK RIDGE TPKE SUITE 350
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City | OAK RIDGE
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State | TN
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Zip | 37830-6930
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Country | US
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Telephone | 865-483-7030
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Fax | 865-483-3954
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Provider Business Mailing Address
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Address Line | 988 OAK RIDGE TPKE SUITE 350
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City | OAK RIDGE
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State | TN
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Zip | 37830-6930
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Country | US
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Telephone | 865-483-7030
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Fax | 865-483-3954
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 132331-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 132331
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 132331
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 49148
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License Number State | TN
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