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General NPI Number Information
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NPI Number | 1427768035
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Entity Type | Individual
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Provider Name | MATTHEW FRANCIS PICI LPC
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Gender | Male
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 902 E CALTON RD STE 105
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City | LAREDO
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State | TX
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Zip | 78041-6359
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Country | US
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Telephone | 832-443-8535
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Fax |
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Provider Business Mailing Address
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Address Line | 2438 MONARCH DR. STE A-300 #219
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City | LAREDO
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State | TX
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Zip | 78045-7979
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Country | US
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Telephone | 832-443-8535
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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 | 80739
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License Number State | TX
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