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General NPI Number Information
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NPI Number | 1942489216
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Entity Type | Organization
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Legal Business Name | ALAN E. MALKI, M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 2415 BATH ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4324
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Country | US
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Telephone | 805-687-3744
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Fax | 805-687-6048
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Provider Business Mailing Address
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Address Line | 700 E REDLANDS BLVD U515
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City | REDLANDS
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State | CA
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Zip | 92373-6109
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Country | US
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Telephone | 805-687-3744
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Fax | 805-687-6048
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DEANNA ELAINE DICKEY
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Credential |
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Telephone | 951-833-6676
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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 | G43969
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License Number State | CA
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