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General NPI Number Information
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NPI Number | 1437801339
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Entity Type | Individual
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Provider Name | MADISON LYNN HEARNE
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1515 S CAPITAL OF TEXAS HWY STE 300
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City | AUSTIN
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State | TX
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Zip | 78746-6544
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Country | US
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Telephone | 844-824-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 MOTOR AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3740
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Country | US
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Telephone | 310-836-1223
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW127093
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ACSW105177
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115147
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW105177
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License Number State | CA
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