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General NPI Number Information
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NPI Number | 1780605261
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Entity Type | Individual
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Provider Name | MICHAEL JOHN MALAWEY P.T. , DPT
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 2308 BROOKFIELD DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-3720
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Country | US
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Telephone | 615-283-8200
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Fax | 615-283-8200
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Provider Business Mailing Address
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Address Line | 2308 BROOKFIELD DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-3720
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Country | US
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Telephone | 615-283-8200
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Fax | 615-283-8200
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT21420
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT0000010226
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License Number State | TN
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