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General NPI Number Information
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NPI Number | 1508591231
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Entity Type | Individual
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Provider Name | MADISON ALEXANDER
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 263 HUNTSVILLE QUALITY RD
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City | MORGANTOWN
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State | KY
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Zip | 42261-7395
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Country | US
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Telephone | 270-934-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 10858 RUSSELLVILLE RD
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City | ROCKFIELD
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State | KY
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Zip | 42274-9765
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Country | US
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Telephone | 270-784-4943
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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 |
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License Number State |
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