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General NPI Number Information
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NPI Number | 1912387473
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Entity Type | Individual
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Provider Name | PATRICK MALIE DO
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Gender | Male
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Dates
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Enumeration Date | 05/31/2015
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Last Update Date | 05/04/2019
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Provider Practice Location Address
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Address Line | 3333 RESEARCH PLZ
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City | SAN ANTONIO
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State | TX
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Zip | 78235
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Country | US
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Telephone | 210-297-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 633 S SAINT MARYS ST UNIT 1414
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City | SAN ANTONIO
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State | TX
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Zip | 78205-3518
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Country | US
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Telephone | 330-502-9705
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q7416
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License Number State | TX
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