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General NPI Number Information
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NPI Number | 1720281488
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Entity Type | Individual
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Provider Name | MATTHEW J GILBERT LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 203 4TH AVE E STE 411
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City | OLYMPIA
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State | WA
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Zip | 98501-1189
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Country | US
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Telephone | 360-259-4500
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Fax | 360-539-1856
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Provider Business Mailing Address
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Address Line | 1211 4TH AVE E SUITE 200
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City | OLYMPIA
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State | WA
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Zip | 98506-4279
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Country | US
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Telephone | 360-259-4500
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Fax | 360-915-7744
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00002537
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License Number State | WA
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