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General NPI Number Information
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NPI Number | 1205985579
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Entity Type | Individual
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Provider Name | DAYLE G MALEN LCSW, M.ED.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2420B CURRY LOOP
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City | ROUND ROCK
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State | TX
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Zip | 78664-2359
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Country | US
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Telephone | 225-590-5051
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Fax | 833-967-1840
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Provider Business Mailing Address
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Address Line | 2420B CURRY LOOP
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City | ROUND ROCK
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State | TX
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Zip | 78664-4119
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Country | US
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Telephone | 225-590-5051
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Fax | 833-967-1840
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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 | TPSW942
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 65783
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3628
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License Number State | LA
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