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General NPI Number Information
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NPI Number | 1194962522
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Entity Type | Organization
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Legal Business Name | JONETTE MALONE, LLC
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 16850 SATURN LN SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77058-2143
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Country | US
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Telephone | 713-882-9114
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Fax | 281-990-7678
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Provider Business Mailing Address
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Address Line | PO BOX 890487
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City | HOUSTON
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State | TX
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Zip | 77289-0487
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Country | US
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Telephone | 713-882-9114
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Fax | 281-990-7678
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPHINE ANNETTE MALONE
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Credential | LCSW
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Telephone | 713-882-9114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 25555
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License Number State | TX
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