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General NPI Number Information
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NPI Number | 1851974836
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Entity Type | Individual
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Provider Name | ALIA MALAEB PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 6001 KYLE PKWY
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City | KYLE
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State | TX
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Zip | 78640-6112
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Country | US
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Telephone | 512-504-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 TURNSTONE DR
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City | AUSTIN
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State | TX
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Zip | 78744-4532
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Country | US
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Telephone | 703-801-6837
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110007723
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16879
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License Number State | TX
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