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General NPI Number Information
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NPI Number | 1699144642
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Entity Type | Individual
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Provider Name | DANIELLE KATHRYN MALATEK
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Gender | Female
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 6701 CORPORATE DR # 4165
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City | JOHNSTON
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State | IA
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Zip | 50131-1659
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Country | US
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Telephone | 319-305-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 601 NORTHWOOD RD STE B
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City | LEXINGTON
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State | SC
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Zip | 29072-2118
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Country | US
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Telephone |
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 2178939
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 22461
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G186137
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 22461
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License Number State | SC
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