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General NPI Number Information
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NPI Number | 1932200433
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Entity Type | Organization
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Legal Business Name | MALIK MEDICAL PRACTICE
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7909 OXFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2224
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Country | US
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Telephone | 215-722-5110
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Fax | 215-722-5112
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Provider Business Mailing Address
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Address Line | 7909 OXFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2224
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Country | US
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Telephone | 215-722-5110
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Fax | 215-722-5112
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ABDUL MALIK
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Credential |
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Telephone | 215-722-5110
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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 | MD068811L
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License Number State | PA
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