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General NPI Number Information
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NPI Number | 1588538789
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Entity Type | Individual
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Provider Name | REGINALD MALVO
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Gender | Male
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 20550 TOWNSEN BLVD UNIT 106-2
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City | HUMBLE
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State | TX
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Zip | 77338-4445
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Country | US
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Telephone | 316-210-1082
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Fax |
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Provider Business Mailing Address
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Address Line | 3519 E WALNUT ST # 158
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City | PEARLAND
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State | TX
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Zip | 77581-4717
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Country | US
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Telephone | 316-210-1082
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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