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General NPI Number Information
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NPI Number | 1457085664
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Entity Type | Individual
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Provider Name | MADELEINE SUSI APCC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4155 24TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-3614
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Country | US
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Telephone | 415-480-5192
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Fax |
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Provider Business Mailing Address
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Address Line | 4155 24TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-3614
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Country | US
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Telephone | 415-562-5841
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14418
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License Number State | CA
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