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General NPI Number Information
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NPI Number | 1568518314
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Entity Type | Organization
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Legal Business Name | IRWIN B. MALAMENT DPM A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 3410 N HIGH SCHOOL RD STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-1100
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Country | US
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Telephone | 317-299-2644
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Fax | 317-328-8914
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Provider Business Mailing Address
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Address Line | 3410 N HIGH SCHOOL RD STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-1100
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Country | US
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Telephone | 317-299-2644
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Fax | 317-328-8914
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRWIN BERNARD MALAMENT
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Credential | D.P.M.
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Telephone | 317-299-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 441-B
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License Number State | IN
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