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General NPI Number Information
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NPI Number | 1437081809
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Entity Type | Individual
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Provider Name | MATTHEW KOBLINER LPC-A
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Gender | Male
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1046 FAIRFIELD AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06605-1116
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Country | US
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Telephone | 203-332-3119
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Fax |
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Provider Business Mailing Address
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Address Line | 156 FIELDCREST RD
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City | FAIRFIELD
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State | CT
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Zip | 06825-4255
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Country | US
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Telephone | 203-253-8497
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 9774
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License Number State | CT
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