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NPI Code Detail

MEDICARE: JOSEPH ROBERT MALONE

MEDICARE:   JOSEPH ROBERT MALONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training AgencyOH
2376J00000XHomemakerOH

General Provider Information

NPI Number : 1922512920
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ROBERT MALONE
Provider Business Mailing Address
First Line : 4545 COLLINGWOOD POINTE PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-8446
Country : US
Telephone Number : 614-906-3569
Fax Number :
Provider Business Practice Location Address
First Line : 4545 COLLINGWOOD POINTE PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-8446
Country : US
Telephone Number : 614-906-3569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 11/29/2017

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Directions to “ JOSEPH ROBERT MALONE ” Practice Location

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