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General NPI Number Information
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NPI Number | 1962418723
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Entity Type | Organization
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Legal Business Name | MATTHEWS SOCIAL WORK SERVICES, INC.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 E DAVIDSON ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3413
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Country | US
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Telephone | 479-582-9020
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Fax | 479-582-9020
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-0132
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Country | US
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Telephone | 479-582-9020
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Fax | 479-582-9020
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Authorized Official
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Title or Position | TREASURER / OFFICE MANAGER
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Name | MR. MICHAEL FOX DE BUYS
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Credential | B.S.
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Telephone | 479-521-3641
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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 |
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License Number State |
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