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General NPI Number Information
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NPI Number | 1952266629
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Entity Type | Individual
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Provider Name | MATTHEW REENTS
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Gender | Male
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1666 E OLIVE WAY # 104
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City | SEATTLE
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State | WA
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Zip | 98102-5627
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Country | US
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Telephone | 323-536-2895
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Fax |
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Provider Business Mailing Address
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Address Line | 212 BROADWAY E # 22187
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City | SEATTLE
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State | WA
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Zip | 98102-7032
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Country | US
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Telephone | 323-536-2895
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 148044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 61645066
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License Number State | WA
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