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General NPI Number Information
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NPI Number | 1134126352
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Entity Type | Individual
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Provider Name | MADELINE ALFORD M.ED., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 85 IH 10 N
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City | BEAUMONT
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State | TX
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Zip | 77707-2539
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Country | US
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Telephone | 409-839-8233
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Fax | 409-839-4489
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Provider Business Mailing Address
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Address Line | 2817 SHERIDAN LN
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City | PORT ARTHUR
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State | TX
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Zip | 77640-2645
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Country | US
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Telephone | 409-982-6550
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10958
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License Number State | TX
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