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General NPI Number Information
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NPI Number | 1699096966
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Entity Type | Individual
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Provider Name | NICOLE ELAINE MALOUF M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1751 MEDICAL WAY
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-4521
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Country | US
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Telephone | 830-627-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 25915 KALKSTEINE LOOP
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-2794
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Country | US
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Telephone | 210-508-2559
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q1665
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | Q1665
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MMD.32754 LL
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License Number State | SC
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