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General NPI Number Information
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NPI Number | 1497970628
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Entity Type | Individual
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Provider Name | MATTHEW MENDEL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 309 W MILLBROOK RD SUITE 125
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City | RALEIGH
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State | NC
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Zip | 27609-4385
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Country | US
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Telephone | 919-571-1966
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Fax | 919-882-1567
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Provider Business Mailing Address
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Address Line | 309 W MILLBROOK RD SUITE 125
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City | RALEIGH
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State | NC
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Zip | 27609-4385
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Country | US
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Telephone | 919-571-1966
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Fax | 919-882-1567
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2156
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2156
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License Number State | NC
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