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General NPI Number Information
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NPI Number | 1639878291
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Entity Type | Individual
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Provider Name | RACHEL DEBORAH MALK RN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 537 N LAS PALMAS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90004-1017
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Country | US
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Telephone | 323-251-2218
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 S DURANGO AVE
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City | LOS ANGELES
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State | CA
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Zip | 90035-3329
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Country | US
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Telephone | 323-251-2218
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 619848
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License Number State | CA
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