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General NPI Number Information
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NPI Number | 1649245044
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Entity Type | Individual
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Provider Name | MALIN A. SADLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 181 FRANKLIN HEALTH COMMONS
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City | FARMINGTON
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State | ME
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Zip | 04938
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Country | US
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Telephone | 605-580-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 113 COLUMBUS ST
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City | LEAD
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State | SD
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Zip | 57754-1612
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Country | US
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Telephone | 605-580-0949
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD25344
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51453
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200200592
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License Number State | NC
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