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General NPI Number Information
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NPI Number | 1033297833
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Entity Type | Individual
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Provider Name | THOMAS A. GONDA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/06/2015
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Provider Practice Location Address
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Address Line | 2220 MOUNTAIN BLVD #240
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City | OAKLAND
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State | CA
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Zip | 94611-2958
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Country | US
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Telephone | 510-495-4826
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Fax | 888-960-9076
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Provider Business Mailing Address
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Address Line | 2220 MOUNTAIN BLVD #240
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City | OAKLAND
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State | CA
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Zip | 94611-2958
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Country | US
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Telephone | 510-495-4826
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Fax | 888-960-9076
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G60409
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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 | MFC50715
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MFC50715
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License Number State | CA
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