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General NPI Number Information
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NPI Number | 1982290573
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Entity Type | Individual
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Provider Name | MADALYN HUNGATE MA
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Gender | Female
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 1018 N BETHLEHEM PIKE
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City | LOWER GWYNEDD
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State | PA
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Zip | 19002-2186
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Country | US
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Telephone | 267-477-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 1179 PTARMIGAN DR
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City | WOODLAND PARK
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State | CO
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Zip | 80863-8004
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Country | US
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Telephone | 505-304-6467
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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