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General NPI Number Information
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NPI Number | 1922476019
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Entity Type | Individual
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Provider Name | MATTHEW FALCON LSW
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Gender | Male
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 301 MEADE ST
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City | PITTSBURGH
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State | PA
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Zip | 15221-2131
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Country | US
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Telephone | 412-241-3296
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 ARDMORE BLVD SUITE 700
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City | PITTSBURGH
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State | PA
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Zip | 15221-5299
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Country | US
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Telephone |
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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 | SW132413
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License Number State | PA
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