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General NPI Number Information
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NPI Number | 1932622750
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Entity Type | Organization
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Legal Business Name | MALONE-DAVIS NEUROLOGY PLLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 7730 W CHEYENNE AVE STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89129-8412
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Country | US
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Telephone | 725-221-1568
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Fax | 725-333-9218
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Provider Business Mailing Address
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Address Line | 7730 W CHEYENNE AVE STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89129-8412
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Country | US
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Telephone | 725-221-1568
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Fax | 725-333-9218
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Authorized Official
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Title or Position | OFFICER
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Name | TOYA MALONE-DAVIS
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Credential | MD
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Telephone | 725-221-1568
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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 | 16583
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License Number State | NV
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