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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1023347366 |
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| LBN Legal business name | MALCOLM H. KING, PSC | ||||||||||||||||||||
| Authorized official | MALCOLM KING - (PRESIDENT) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 12/16/2009 | ||||||||||||||||||||
| Last updated | 03/11/2013 - About 13 years ago | ||||||||||||||||||||
| Identifiers |
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