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General NPI Number Information
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NPI Number | 1801825799
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Entity Type | Individual
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Provider Name | LOUISE M MALONEY MD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 9 WILDWOOD MEDICAL CTR
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City | ESSEX
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State | CT
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Zip | 06426-1155
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Country | US
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Telephone | 860-767-9940
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Fax | 860-767-9775
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Provider Business Mailing Address
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Address Line | 9 WILDWOOD MEDICAL CTR
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City | ESSEX
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State | CT
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Zip | 06426-1155
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Country | US
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Telephone | 860-767-9940
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Fax | 860-767-9775
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 028466
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License Number State | CT
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