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General NPI Number Information
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NPI Number | 1740610997
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Entity Type | Individual
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Provider Name | MATTHEW TYLER MCGUIRE LISW
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Gender | Male
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Dates
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Enumeration Date | 11/24/2013
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3200 TREMONT RD
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-2040
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Country | US
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Telephone | 614-366-8700
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Fax | 614-685-3081
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-366-8700
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Fax | 614-685-3081
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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 | I.1502439-SUPV
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License Number State |
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