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General NPI Number Information
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NPI Number | 1336150465
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Entity Type | Individual
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Provider Name | ROBIN DENISE MALLETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 400 HARBORSIDE DR STE 118-119
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City | GALVESTON
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State | TX
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Zip | 77555-0001
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Country | US
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Telephone | 409-772-0770
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Fax | 409-747-4010
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Provider Business Mailing Address
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Address Line | 7510 F. M. 1765
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City | TEXAS CITY
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State | TX
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Zip | 77591
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Country | US
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Telephone | 409-935-6083
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Fax | 409-935-0818
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | J7570
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License Number State | TX
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