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General NPI Number Information
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NPI Number | 1568439784
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Entity Type | Organization
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Legal Business Name | DAVID I MALITZ MD., PC
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4675 W FLAMINGO RD STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89103-3788
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Country | US
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Telephone | 702-368-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 WALNUT ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1963
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Country | US
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Telephone | 812-421-2020
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Fax | 812-422-1189
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Authorized Official
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Title or Position | OWNER
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Name | DAVID I MALITZ
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Credential |
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Telephone | 812-421-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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