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General NPI Number Information
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NPI Number | 1639422249
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH MALONEY CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 201 REECEVILLE ROAD
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City | COATESVILLE
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State | PA
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Zip | 19320
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Country | US
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Telephone | 215-949-5327
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Fax | 215-949-5312
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Provider Business Mailing Address
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Address Line | LIBERTY ANESTHESIA ASSOCIATES P CLL PO BOX 8500-1776
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City | PHILADELPHIA
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State | PA
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Zip | 19178-1776
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Country | US
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Telephone | 201-804-2800
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Fax | 201-804-8883
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN516604L
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License Number State | PA
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