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General NPI Number Information
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NPI Number | 1881898518
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Entity Type | Organization
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Legal Business Name | TONY M. MAALOUF, M.D.,P.C.
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 407 W JEFFERSON ST STE B
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City | BUTLER
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State | PA
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Zip | 16001-5485
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Country | US
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Telephone | 724-283-1005
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Fax | 724-283-4612
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Provider Business Mailing Address
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Address Line | 407 W JEFFERSON ST STE B
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City | BUTLER
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State | PA
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Zip | 16001-5485
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Country | US
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Telephone | 724-283-1005
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Fax | 724-283-4612
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. TONY MAURICE MAALOUF
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Credential | M.D.
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Telephone | 724-283-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD054326L
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License Number State | PA
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