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General NPI Number Information
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NPI Number | 1053223925
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Entity Type | Individual
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Provider Name | MADELINE M. IRIZARRY
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 831 SIMPSON RD
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City | KISSIMMEE
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State | FL
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Zip | 34744-5328
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Country | US
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Telephone | 407-483-5757
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Fax | 855-642-2122
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Provider Business Mailing Address
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Address Line | 2029 HICKORY TREE RD
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City | SAINT CLOUD
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State | FL
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Zip | 34772-8906
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Country | US
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Telephone | 321-805-4850
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Fax | 321-206-4511
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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 | 28160
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License Number State | FL
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