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General NPI Number Information
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NPI Number | 1902926512
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Entity Type | Organization
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Legal Business Name | MALIK NEUROLOGICAL ASSOCIATES INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 556 RUSH CREEK PKWY A
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City | LIBERTY
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State | MO
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Zip | 64068-9609
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Country | US
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Telephone | 816-792-1010
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Fax | 816-792-1710
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Provider Business Mailing Address
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Address Line | 556 RUSH CREEK PKWY SUITE A
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City | LIBERTY
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State | MO
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Zip | 64068-9609
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Country | US
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Telephone | 816-792-1010
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Fax | 816-792-1710
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RABIA S MALIK
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Credential |
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Telephone | 816-792-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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