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General NPI Number Information
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NPI Number | 1164354130
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Entity Type | Individual
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Provider Name | MALAKAI C STRONG
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Gender | Male
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 75100 MEDITERRANEAN
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City | PALM DESERT
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State | CA
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Zip | 92211-9069
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Country | US
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Telephone | 760-837-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 301 N PALM CANYON DR STE 103-1116
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5672
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW135106
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License Number State | CA
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