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General NPI Number Information
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NPI Number | 1104715937
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Entity Type | Organization
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Legal Business Name | OFELIA MADRIGAL
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2470 SAINT ROSE PKWY # 320
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City | HENDERSON
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State | NV
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Zip | 89074-7772
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Country | US
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Telephone | 725-277-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 125 CORONATION AVE
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City | LAS VEGAS
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State | NV
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Zip | 89123-1153
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Country | US
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Telephone | 559-331-4110
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Fax |
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Authorized Official
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Title or Position | MFTI
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Name | MRS. OFELIA MADRIGAL
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Credential | MFTI
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Telephone | 559-331-4110
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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