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General NPI Number Information
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NPI Number | 1962367722
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Entity Type | Individual
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Provider Name | MOLLY MADDEN LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 46 REYNOLDS RD
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City | FORT EDWARD
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State | NY
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Zip | 12828-9217
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Country | US
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Telephone | 518-573-0239
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MARRINER AVE
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City | ALBANY
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State | NY
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Zip | 12205-2906
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Country | US
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Telephone | 518-637-1689
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 129434
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License Number State | NY
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