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General NPI Number Information
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NPI Number | 1437485521
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Entity Type | Organization
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Legal Business Name | MALLEY, LLC
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 16350 PARK TEN PL STE 222
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City | HOUSTON
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State | TX
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Zip | 77084-5196
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Country | US
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Telephone | 281-994-4067
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Fax | 832-321-4869
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Provider Business Mailing Address
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Address Line | 2130 WHITE EAGLE LN
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City | KATY
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State | TX
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Zip | 77450-8689
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Country | US
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Telephone | 281-395-5540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MALCOLM JUNIOR
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Credential |
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Telephone | 713-492-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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