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1306637996 NPI number — MADELYN MADAY

NPI Number: 1306637996
Health Care Provider/Practitioner: MADELYN MADAY

Information about “1306637996” NPI (MADELYN MADAY) exists in 1306637996 in HTML format HTML  |  1306637996 in plain Text format TXT  |  1306637996 in PDF (Portable Document Format) PDF  |  1306637996 in an XML format XML  formats.

NPI Number : 1306637996 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306637996",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MADAY",
    "FirstName": "MADELYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17493 WALDEN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUTCHINSON",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55350-6614",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "320-552-2245",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20288 MN-15",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "HUTCHINSON",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55350",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "320-244-2437",
    "PracticeLocationAddressFaxNumber": "320-753-0779",
    "EnumerationDate": "05/14/2025",
    "LastUpdateDate": "07/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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