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General NPI Number Information
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NPI Number | 1508792995
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Entity Type | Individual
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Provider Name | MATTHEW PARKER LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 1201 ARROW POINT DR
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City | CEDAR PARK
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State | TX
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Zip | 78613-7784
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Country | US
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Telephone | 512-598-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 MAYFIELD CAVE TRL
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City | ROUND ROCK
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State | TX
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Zip | 78681-1105
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Country | US
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Telephone | 512-598-6910
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59537
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License Number State | TX
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