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General NPI Number Information
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NPI Number | 1609807056
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Entity Type | Individual
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Provider Name | MEENAKSHI MALHOTRA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | BROOKSVILLE REGIONAL HOSPITAL, DEPT PATHOLOGY 17240 CORTEZ BLVD.
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City | BROOKSVILLE
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State | FL
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Zip | 34605-0037
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Country | US
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Telephone | 352-544-6050
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Fax | 352-688-8822
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Provider Business Mailing Address
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Address Line | 5351 CHAMPIONSHIP CUP LN
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City | BROOKSVILLE
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State | FL
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Zip | 34609-0366
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Country | US
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Telephone | 352-544-6050
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Fax | 352-688-8822
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME87731
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License Number State | FL
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