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General NPI Number Information
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NPI Number | 1598486680
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Entity Type | Individual
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Provider Name | MS. DELANEY MALAK
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Gender | Female
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 65 FORDING PLACE RD
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5221
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Country | US
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Telephone | 845-943-3941
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MICHAEL DR
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City | COTTEKILL
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State | NY
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Zip | 12419-5106
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Country | US
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Telephone | 845-750-7381
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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