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General NPI Number Information
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NPI Number | 1679051247
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Entity Type | Individual
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Provider Name | ADAM JOSEPH MALEK PT, DPT, SCS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2018
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 1400 W HEBRON PKWY
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City | CARROLLTON
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State | TX
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Zip | 75010-6317
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Country | US
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Telephone | 832-233-0615
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Fax | 972-492-3487
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Provider Business Mailing Address
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Address Line | 6051 ALMA RD
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City | MCKINNEY
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State | TX
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Zip | 75070-2139
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Country | US
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Telephone | 832-233-0615
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 1277829
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License Number State |
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