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General NPI Number Information
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NPI Number | 1144183450
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Entity Type | Individual
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Provider Name | MADAILEINE FAHEY
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 12445 E 2ND AVE
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City | AURORA
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State | CO
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Zip | 80011-8303
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Country | US
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Telephone | 303-326-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 15701 E 1ST AVE STE 206
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City | AURORA
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State | CO
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Zip | 80011-9038
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Country | US
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Telephone | 303-344-8060
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 24515423
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License Number State | CO
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