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General NPI Number Information
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NPI Number | 1558985325
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Entity Type | Individual
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Provider Name | MADELEINE HANLON AZAR LPC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 13807 OXNARD ST
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City | VAN NUYS
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State | CA
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Zip | 91401-3941
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Country | US
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Telephone | 512-574-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 13654 VICTORY BLVD # 254
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City | VAN NUYS
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State | CA
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Zip | 91401-1738
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Country | US
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Telephone | 512-574-6778
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 15087
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 80432
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License Number State | TX
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