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General NPI Number Information
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NPI Number | 1780925644
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Entity Type | Individual
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Provider Name | MATTHEW CHRISTOPHER DILLON LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 3001 E TAHQUITZ CANYON WAY STE 205
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6901
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Country | US
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Telephone | 760-969-6562
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Fax | 760-537-2942
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Provider Business Mailing Address
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Address Line | PO BOX 4755
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City | PALM SPRINGS
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State | CA
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Zip | 92263-4755
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Country | US
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Telephone | 760-766-5828
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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 | LCSW99867
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License Number State | CA
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