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General NPI Number Information
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NPI Number | 1568573285
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Entity Type | Organization
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Legal Business Name | DAVID W. MALKA MD, PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 7539 MEDICAL DR
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City | HUDSON
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State | FL
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Zip | 34667-6502
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Country | US
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Telephone | 727-869-2115
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Fax | 727-863-6167
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Provider Business Mailing Address
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Address Line | 7539 MEDICAL DR
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City | HUDSON
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State | FL
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Zip | 34667-6502
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Country | US
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Telephone | 727-869-2115
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Fax | 727-863-6167
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Authorized Official
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Title or Position | OWNER
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Name | DAVID W MALKA
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Credential | MD
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Telephone | 727-869-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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