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General NPI Number Information
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NPI Number | 1578744454
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Entity Type | Organization
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Legal Business Name | MALA ASHOK MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 112 FOUNTAIN OAKS CIR 250
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City | SACRAMENTO
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State | CA
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Zip | 95831-3967
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Country | US
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Telephone | 916-427-1292
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3626
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Country | US
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Telephone | 916-423-5800
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Fax | 916-427-1292
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MALA ASHOK
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Credential | MD
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Telephone | 916-423-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A85579
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License Number State | CA
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