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General NPI Number Information
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NPI Number | 1306729090
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Entity Type | Individual
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Provider Name | MADISON KAY GALL LAPC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 600 S 2ND ST STE 201
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City | BISMARCK
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State | ND
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Zip | 58504-5729
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Country | US
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Telephone | 701-390-6306
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Fax | 701-751-1328
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Provider Business Mailing Address
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Address Line | 7600 STONE LOOP
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City | BISMARCK
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State | ND
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Zip | 58503-6817
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Country | US
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Telephone | 701-390-6306
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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 | 1475-8-1-25A
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License Number State | ND
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