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General NPI Number Information
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NPI Number | 1831687003
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Entity Type | Individual
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Provider Name | MADISON DAVIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 4901 NOLENSVILLE PIKE
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City | NASHVILLE
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State | TN
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Zip | 37211-5411
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Country | US
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Telephone | 615-575-3783
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Fax | 877-259-8932
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Provider Business Mailing Address
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Address Line | 4901 NOLENSVILLE PIKE
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City | NASHVILLE
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State | TN
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Zip | 37211-5411
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Country | US
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Telephone | 615-575-3783
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Fax | 877-259-8932
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7530
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License Number State | KY
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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 | 34010519A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 253289
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7021
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License Number State | TN
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