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General NPI Number Information
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NPI Number | 1912679127
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Entity Type | Individual
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Provider Name | MATTHEW SNYDER MSW, LICSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 1018 N CALDWELL ST APT 537
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City | CHARLOTTE
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State | NC
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Zip | 28206-3686
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Country | US
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Telephone | 704-251-9666
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18312
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City | CHARLOTTE
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State | NC
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Zip | 28218-0312
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Country | US
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Telephone | 704-251-9666
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 225170
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License Number State | MA
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