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General NPI Number Information
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NPI Number | 1417263369
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Entity Type | Individual
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Provider Name | MATTHEW S FLEMING LPCC
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Gender | Male
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Dates
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Enumeration Date | 08/28/2010
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Last Update Date | 08/28/2010
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Provider Practice Location Address
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Address Line | 1000 HIGH ST SUITE E
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City | WORTHINGTON
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State | OH
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Zip | 43085-4044
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Country | US
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Telephone | 614-264-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 3970 MOUNTVIEW RD
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City | COLUMBUS
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State | OH
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Zip | 43220-4856
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Country | US
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Telephone | 614-264-5851
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0602071
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License Number State | OH
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