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General NPI Number Information
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NPI Number | 1235023169
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Entity Type | Individual
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Provider Name | MADIGAN JANE CROWLEY TLMHC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 104 2ND AVE NW
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1301
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Country | US
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Telephone | 319-693-2266
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Fax | 319-483-6622
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Provider Business Mailing Address
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Address Line | 1770 16TH ST
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City | MARION
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State | IA
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Zip | 52302-2205
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Country | US
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Telephone | 319-409-2480
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 131222
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License Number State | IA
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