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General NPI Number Information
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NPI Number | 1679198188
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Entity Type | Individual
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Provider Name | JOSEPH ELIAS ABDUL-MALAK MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 2151 SHENANGO VALLEY FWY STE A-2
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City | HERMITAGE
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State | PA
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Zip | 16148-2586
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Country | US
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Telephone | 724-347-4561
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 SHENANGO VALLEY FWY STE A-2
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City | HERMITAGE
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State | PA
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Zip | 16148-2586
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Country | US
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Telephone | 724-347-4561
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD4857790
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License Number State | PA
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