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General NPI Number Information
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NPI Number | 1669415774
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Entity Type | Individual
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Provider Name | KIRKLAND MALONE
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 3399 WEDGEWOOD LN
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City | THE VILLAGES
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State | FL
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Zip | 32162-7180
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Country | US
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Telephone | 352-259-8070
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Fax | 352-205-7619
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Provider Business Mailing Address
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Address Line | 3399 WEDGEWOOD LN
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City | THE VILLAGES
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State | FL
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Zip | 32162-7180
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Country | US
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Telephone | 352-259-8070
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Fax | 352-205-7619
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS3772
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License Number State | FL
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