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General NPI Number Information
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NPI Number | 1649719378
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Entity Type | Individual
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Provider Name | DANA MALZAHN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 7700 WEST SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone | 800-437-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 917 NE 3RD ST APT 6
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1686
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Country | US
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Telephone | 954-551-7975
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9297491
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License Number State | FL
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