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General NPI Number Information
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NPI Number | 1023155710
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Entity Type | Individual
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Provider Name | JAMIE LYNN MALONE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1649 61ST ST
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City | BROOKLYN
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State | NY
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Zip | 11204-2110
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Country | US
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Telephone | 212-481-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 61ST ST
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City | BROOKLYN
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State | NY
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Zip | 11204-2110
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Country | US
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Telephone | 212-481-4040
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 1349109041
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 74676
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 46090
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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