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General NPI Number Information
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NPI Number | 1578574216
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Entity Type | Individual
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Provider Name | ASIFA MAHBOOB MALIK M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 1005 9TH ST APT 3
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City | GOLDEN
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State | CO
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Zip | 80401-5853
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Country | US
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Telephone | 260-416-8611
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 9TH ST APT 3
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City | GOLDEN
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State | CO
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Zip | 80401-5853
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Country | US
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Telephone | 260-416-8611
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01062625
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 27704
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License Number State | WV
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