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General NPI Number Information
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NPI Number | 1740210798
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Entity Type | Individual
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Provider Name | MARTIN A MALZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 1205 PIPER BLVD STE 201
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City | NAPLES
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State | FL
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Zip | 34110-1387
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Country | US
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Telephone | 239-500-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 PIPER BLVD STE 201
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City | NAPLES
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State | FL
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Zip | 34110-1387
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Country | US
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Telephone | 239-500-9080
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Fax | 239-500-9070
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD040653L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME129765
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License Number State | FL
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