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General NPI Number Information
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NPI Number | 1366263113
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Entity Type | Individual
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Provider Name | MATTHEW RUMOHR
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Gender |
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 95 WHITE BRIDGE PIKE STE 400
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City | NASHVILLE
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State | TN
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Zip | 37205-1426
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Country | US
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Telephone | 615-570-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 4TH AVE N APT B
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City | NASHVILLE
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State | TN
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Zip | 37208-1622
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Country | US
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Telephone | 973-851-4108
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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