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General NPI Number Information
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NPI Number | 1699666370
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Entity Type | Individual
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Provider Name | MADELYN HUDLOW OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1200 MARQUETTE AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2419
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Country | US
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Telephone | 612-503-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 CHERRY LN
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City | ROCKFORD
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State | MN
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Zip | 55373-2101
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Country | US
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Telephone | 763-607-0122
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 107832
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License Number State | MN
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