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General NPI Number Information
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NPI Number | 1144645920
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Entity Type | Individual
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Provider Name | CURT MATZENBACHER LPC
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Gender | Male
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 04/01/2023
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Provider Practice Location Address
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Address Line | 417 W MAPLE AVE STE 105
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City | SPRINGDALE
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State | AR
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Zip | 72764-5333
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Country | US
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Telephone | 304-518-2878
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Fax |
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Provider Business Mailing Address
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Address Line | 417 W MAPLE AVE STE 105
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City | SPRINGDALE
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State | AR
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Zip | 72764-5333
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Country | US
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Telephone | 304-518-2878
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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 | M1709028
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1705301
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License Number State | AR
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