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General NPI Number Information
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NPI Number | 1972465391
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Entity Type | Individual
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Provider Name | MADELINE DICKSON
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 700 BELL DR SW
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City | CEDAR RAPIDS
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State | IA
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Zip | 52404-7406
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Country | US
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Telephone | 319-294-9577
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Fax |
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Provider Business Mailing Address
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Address Line | 1195 E POST RD UNIT 13
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City | MARION
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State | IA
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Zip | 52302-7235
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Country | US
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Telephone | 319-640-0935
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | IA
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