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General NPI Number Information
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NPI Number | 1114548427
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Entity Type | Organization
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Legal Business Name | MATTHEW D SMEKAR LPC LLC
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 307 S JAMES ST STE 105
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City | LUDINGTON
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State | MI
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Zip | 49431-2105
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Country | US
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Telephone | 231-233-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 5957 W. OLMSTEAD RD.
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City | LUDINGTON
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State | MI
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Zip | 49431-9754
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Country | US
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Telephone | 231-233-9120
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MATTHEW SMEKAR
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Credential | LPC
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Telephone | 231-233-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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