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General NPI Number Information
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NPI Number | 1831570977
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Entity Type | Organization
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Legal Business Name | UMER MALIK CORPORATION
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 7700 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95826-2608
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Country | US
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Telephone | 775-343-9981
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2743
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City | ELK GROVE
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State | CA
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Zip | 95759-2743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UMER F MALIK
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Credential | MD
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Telephone | 775-343-9981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A109140
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License Number State | CA
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