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General NPI Number Information
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NPI Number | 1659261311
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Entity Type | Individual
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Provider Name | MALINDA A DRAGISICH PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 265 3RD ST FL 2
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City | BEAVER
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State | PA
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Zip | 15009-2350
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Country | US
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Telephone | 330-256-0533
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Fax | 330-595-4727
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Provider Business Mailing Address
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Address Line | 265 3RD ST FL 2
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City | BEAVER
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State | PA
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Zip | 15009-2350
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Country | US
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Telephone | 330-256-0533
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Fax | 330-595-4727
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN525925L
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License Number State | PA
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