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General NPI Number Information
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NPI Number | 1780952226
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Entity Type | Individual
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Provider Name | ADRIANA MALAGON MSW
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Gender | Female
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 65 PARROTT RD
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City | WEST NYACK
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State | NY
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Zip | 10994-1025
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Country | US
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Telephone | 845-353-1546
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Fax |
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Provider Business Mailing Address
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Address Line | 19 FRIEND ST
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City | CONGERS
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State | NY
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Zip | 10920-2029
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Country | US
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Telephone | 845-589-0153
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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