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General NPI Number Information
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NPI Number | 1861155681
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Entity Type | Individual
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Provider Name | MRS. MADISON NICOLE SLOAN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3518 W 25TH ST
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City | CLEVELAND
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State | OH
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Zip | 44109-1995
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Country | US
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Telephone | 216-741-2241
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Fax | 216-459-9821
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Provider Business Mailing Address
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Address Line | 3518 W 25TH ST
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City | CLEVELAND
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State | OH
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Zip | 44109-1995
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Country | US
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Telephone | 216-741-2241
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Fax | 216-459-9821
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.181482
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2507334
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License Number State | OH
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