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General NPI Number Information
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NPI Number | 1578383055
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Entity Type | Individual
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Provider Name | MATTHEW KIRSHMAN MSW
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Gender | Male
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | PO BOX 2432
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City | PITTSFIELD
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State | MA
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Zip | 01202-2432
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Country | US
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Telephone | 833-623-9750
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Fax | 888-620-2144
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Provider Business Mailing Address
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Address Line | PO BOX 2432
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City | PITTSFIELD
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State | MA
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Zip | 01202-2432
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Country | US
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Telephone | 833-623-9750
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Fax | 888-620-2144
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW2120754
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61610486
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License Number State | WA
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