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General NPI Number Information
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NPI Number | 1275952632
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Entity Type | Individual
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Provider Name | MATTHEW ENGELKING LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 5109 NE 82ND AVE STE 215
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City | VANCOUVER
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State | WA
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Zip | 98662-6841
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Country | US
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Telephone | 866-657-6592
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Fax |
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Provider Business Mailing Address
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Address Line | 15327 S HIGHWAY 21
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City | REPUBLIC
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State | WA
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Zip | 99166-9614
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Country | US
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Telephone | 509-596-6317
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF61102709
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License Number State | WA
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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 | 35001803A
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License Number State | IN
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