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General NPI Number Information
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NPI Number | 1619953502
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Entity Type | Individual
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Provider Name | NADIA S MALIK M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-651-2259
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Fax | 916-703-2274
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Provider Business Mailing Address
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Address Line | 1351 ROYAL CREEK CT
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City | PLEASANTON
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State | CA
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Zip | 94566-3424
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Country | US
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Telephone | 925-485-9711
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Fax | 925-485-9711
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | S12.2005
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License Number State | CA
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