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General NPI Number Information
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NPI Number | 1417521386
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Entity Type | Individual
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Provider Name | MADISON E DAY MS
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Gender | Female
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Dates
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Enumeration Date | 05/16/2021
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 108 W FIRE TOWER RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-8371
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Country | US
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Telephone | 252-744-8342
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Fax | 252-744-1890
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Provider Business Mailing Address
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Address Line | PO BOX 751069
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12193A
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2572
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License Number State | NC
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