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General NPI Number Information
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NPI Number | 1518060185
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Entity Type | Individual
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Provider Name | BOBBY LEE MALONE MS MSW AAMFT LBSW
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 114 W 10TH ST SUITE D
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City | ANNISTON
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State | AL
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Zip | 36201-5614
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Country | US
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Telephone | 256-770-7339
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Fax | 256-770-7338
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Provider Business Mailing Address
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Address Line | PO BOX 1016
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City | ANNISTON
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State | AL
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Zip | 36202-1016
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Country | US
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Telephone | 256-770-7339
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Fax | 256-770-7338
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 21
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License Number State | AL
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