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General NPI Number Information
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NPI Number | 1588729347
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Entity Type | Organization
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Legal Business Name | MAL-LYN ENTERPRISES INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 5320 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32810-5251
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Country | US
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Telephone | 407-294-5004
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Fax | 407-294-0988
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Provider Business Mailing Address
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Address Line | 5320 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32810-5251
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Country | US
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Telephone | 407-294-5004
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Fax | 407-294-0988
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA S WARD
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Credential | RN, C
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Telephone | 407-294-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299991367
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License Number State | FL
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