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General NPI Number Information
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NPI Number | 1366646267
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Entity Type | Organization
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Legal Business Name | THE MATTHEWS HOUSE
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 814 E 16TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-4024
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Country | US
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Telephone | 970-472-4293
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Fax |
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Provider Business Mailing Address
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Address Line | 415 MASON CT # 1
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City | FORT COLLINS
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State | CO
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Zip | 80524-4422
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Country | US
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Telephone | 970-472-0609
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NICOLE K ARMSTRONG
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Credential |
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Telephone | 970-472-4293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 548
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License Number State | CO
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