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General NPI Number Information
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NPI Number | 1376837054
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Entity Type | Organization
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Legal Business Name | MATTHEW ZITO & ASSOCIATES
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 1101 ARROW POINT DR SUITE #212
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City | CEDAR PARK
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State | TX
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Zip | 78613-7737
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Country | US
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Telephone | 512-422-7563
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Fax | 512-218-8444
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Provider Business Mailing Address
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Address Line | 1101 ARROW POINT DR SUITE #212
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City | CEDAR PARK
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State | TX
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Zip | 78613-7737
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Country | US
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Telephone | 512-422-7563
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Fax | 512-218-8444
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MATTHEW ZITO
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Credential | LMFT, ATR-BC
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Telephone | 512-422-7563
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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 | 201078
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License Number State | TX
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