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General NPI Number Information
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NPI Number | 1548126634
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Entity Type | Organization
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Legal Business Name | MADISON BERRY, LCSW
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 645 FM 967 STE 104
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City | BUDA
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State | TX
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Zip | 78610-4747
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Country | US
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Telephone | 512-710-7965
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1226
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City | KYLE
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State | TX
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Zip | 78640-1226
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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 | SOLE PRACTITIONER/OWNER
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Name | MADISON BERRY
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Credential | LCSW
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Telephone | 512-710-7965
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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 |
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License Number State |
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