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General NPI Number Information
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NPI Number | 1033306048
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Entity Type | Organization
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Legal Business Name | MATTHEW W TURNER PHD INC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 8140 N MOPAC EXPY BUILDING 2, SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78759-8837
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Country | US
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Telephone | 512-767-5539
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Fax | 512-346-2284
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Provider Business Mailing Address
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Address Line | 8140 N MOPAC EXPY BUILDING 2, SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78759-8837
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Country | US
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Telephone | 512-767-5539
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Fax | 512-346-2284
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MATTHEW WILLIAM TURNER
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Credential | PHD
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Telephone | 512-767-5539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32671
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License Number State | TX
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