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General NPI Number Information
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NPI Number | 1730666033
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Entity Type | Individual
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Provider Name | MALINI MONI
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 838 PENN ST
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City | READING
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State | PA
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Zip | 19602-1108
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Country | US
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Telephone | 610-988-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 103 MEDITERRANEAN AVE
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City | READING
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State | PA
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Zip | 19608-9342
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS041862
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License Number State | PA
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