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General NPI Number Information
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NPI Number | 1760463574
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Entity Type | Individual
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Provider Name | JOSEPH JOHN MALJOVEC M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 14 PLUMBER ST
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City | WARREN
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State | PA
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Zip | 16365-1202
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Country | US
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Telephone | 814-723-2323
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Fax | 814-726-3337
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Provider Business Mailing Address
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Address Line | 14 PLUMBER ST
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City | WARREN
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State | PA
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Zip | 16365-1202
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Country | US
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Telephone | 814-723-2323
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Fax | 814-726-3337
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD023842E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD023842E
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License Number State | PA
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