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General NPI Number Information
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NPI Number | 1356107049
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH WHIPPLE
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Gender | Male
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 80 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1740
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Country | US
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Telephone | 781-290-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ALDEN RD
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City | MARSHFIELD
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State | MA
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Zip | 02050-3001
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Country | US
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Telephone | 781-834-7421
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SPA100358
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License Number State | MA
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