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General NPI Number Information
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NPI Number | 1821988916
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Entity Type | Individual
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Provider Name | MADISON HERNDON
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Gender |
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 8590 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77095-2242
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Country | US
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Telephone | 713-659-0957
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Fax |
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Provider Business Mailing Address
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Address Line | 2610 POLK ST
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City | HOUSTON
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State | TX
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Zip | 77003-4413
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Country | US
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Telephone | 912-856-1261
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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