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General NPI Number Information
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NPI Number | 1801023353
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Entity Type | Organization
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Legal Business Name | KIM K. MAALE, M.D., P.A.
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 3108 MIDWAY RD SUITE 106
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City | PLANO
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State | TX
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Zip | 75093-6383
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Country | US
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Telephone | 972-608-0359
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Fax | 972-608-0605
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Provider Business Mailing Address
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Address Line | 3108 MIDWAY RD SUITE 106
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City | PLANO
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State | TX
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Zip | 75093-6383
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Country | US
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Telephone | 972-608-0359
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Fax | 972-608-0605
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. KIM K. MAALE
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Credential | M.D.
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Telephone | 972-608-0359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | H2548
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License Number State | TX
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