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General NPI Number Information
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NPI Number | 1962315101
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Entity Type | Individual
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Provider Name | KAYELA MALEWITZ
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3900 S OLD HIGHWAY 94 STE 3
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City | SAINT CHARLES
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State | MO
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Zip | 63304-2800
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Country | US
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Telephone | 314-744-9535
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 S 18TH ST APT 204
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City | SAINT LOUIS
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State | MO
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Zip | 63104-2561
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Country | US
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Telephone |
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | NULL
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