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General NPI Number Information
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NPI Number | 1568169068
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Entity Type | Individual
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Provider Name | DR. MALINDA STARR HUDSON
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Gender | Female
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 30668 SUSSEX HWY
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City | LAUREL
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State | DE
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Zip | 19956-4421
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Country | US
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Telephone | 302-251-8870
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Fax |
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Provider Business Mailing Address
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Address Line | 24832 MISTLETOE DR
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City | GEORGETOWN
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State | DE
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Zip | 19947-2768
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Country | US
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Telephone | 302-373-7083
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Fax |
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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 | Q3-0010610
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License Number State | DE
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