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General NPI Number Information
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NPI Number | 1841889110
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Entity Type | Organization
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Legal Business Name | MATHEW BARBOSA, LMHC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 78 WASHINGTON ST
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City | FAIRHAVEN
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State | MA
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Zip | 02719
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Country | US
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Telephone | 508-251-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SCONTICUT NECK RD # 237
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City | FAIRHAVEN
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State | MA
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Zip | 02719-1914
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Country | US
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Telephone | 508-251-9750
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Fax |
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Authorized Official
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Title or Position | LMHC/PRESIDENT
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Name | MATHEW BARBOSA
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Credential | LMHC
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Telephone | 508-251-9750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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