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General NPI Number Information
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NPI Number | 1760211072
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Entity Type | Individual
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Provider Name | MONICA M MADDEN
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Gender | Female
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 855 S WALL ST
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City | COLUMBUS
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State | OH
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Zip | 43206-1921
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Country | US
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Telephone | 614-434-8491
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Fax |
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Provider Business Mailing Address
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Address Line | 2935 E MAIN ST UNIT 9171
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City | COLUMBUS
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State | OH
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Zip | 43209-6022
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Country | US
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Telephone | 614-434-8491
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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