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General NPI Number Information
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NPI Number | 1942461777
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Entity Type | Individual
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Provider Name | TENA L. MALONE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 600 S CURSON AVE APT 306
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City | LOS ANGELES
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State | CA
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Zip | 90036
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Country | US
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Telephone | 310-739-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 5003 WINTHROP ST APT 302
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City | OXON HILL
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State | MD
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Zip | 20745-2004
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Country | US
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Telephone | 301-412-2727
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1078
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 28214
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License Number State | CA
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