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General NPI Number Information
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NPI Number | 1457968018
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Entity Type | Individual
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Provider Name | MR. MATTHEW FRIEND
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Gender | Male
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 100 CAMBRIDGE ST FL 14
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City | BOSTON
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State | MA
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Zip | 02114-2509
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Country | US
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Telephone | 617-454-4694
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Fax |
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Provider Business Mailing Address
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Address Line | 118 BERKSHIRE ST # 3
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City | CAMBRIDGE
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State | MA
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Zip | 02141-1417
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Country | US
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Telephone | 312-965-7615
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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 | LMHC10002330
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License Number State | MA
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