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General NPI Number Information
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NPI Number | 1376017426
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Entity Type | Individual
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Provider Name | MADISAN MAE HERSLEBS MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 273 QUILLIAN STREET
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City | CLEVELAND
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State | GA
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Zip | 30528
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Country | US
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Telephone | 706-865-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 125 WIND FOREST CT
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City | CLARKESVILLE
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State | GA
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Zip | 30523
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Country | US
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Telephone | 770-823-0954
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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 | SLP013246
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License Number State | GA
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