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General NPI Number Information
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NPI Number | 1265016232
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Entity Type | Individual
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Provider Name | MADISON KAY
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Gender | Female
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 1414 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7431
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Country | US
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Telephone | 719-460-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 YANKTON PL
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-4830
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Country | US
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Telephone | 719-460-3833
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWC.0000000312
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License Number State | CO
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