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General NPI Number Information
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NPI Number | 1750845483
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Entity Type | Individual
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Provider Name | JANEE MALAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 345 N MAPLE DR STE 318
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5197
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Country | US
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Telephone | 310-935-4065
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Fax | 310-935-4075
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Provider Business Mailing Address
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Address Line | 345 N MAPLE DR STE 318
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City | LOS ANGELES
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State | CA
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Zip | 90067-2011
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Country | US
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Telephone | 310-277-9534
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 56502
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA56502
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License Number State | CA
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