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General NPI Number Information
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NPI Number | 1548940521
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Entity Type | Individual
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Provider Name | MADELINE MCNEAL MSW, SWC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 3801 E FLORIDA AVE STE 650
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City | DENVER
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State | CO
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Zip | 80210-2562
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Country | US
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Telephone | 888-233-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 E FLORIDA AVE STE 650
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City | DENVER
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State | CO
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Zip | 80210-2562
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SWC.0000001450
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License Number State |
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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 | SWC.0000001450
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License Number State | CO
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